Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis.

Abstract:

:Meningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria brain abscesses is high but can be reduced when appropriate treatment is timely started. Immunosuppressed patients are more often affected, and a high suspicion is needed for prompt identification. Treatment should be individualized taking into account the comorbidities, lesion size and location, bacterial resistance, and clinical and radiological response. We present a case of a supratentorial Lm brain abscess in a patient with liver cirrhosis whose family denied surgical management, and despite the large size, clinical and radiological success was achieved with 4 weeks of ampicillin.

journal_name

Ann Indian Acad Neurol

authors

Flores-Perez RO,Villarreal-Villarreal CD,Garza JAC,Galarza-Delgado DA

doi

10.4103/aian.AIAN_233_18

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

107-109

issue

1

eissn

0972-2327

issn

1998-3549

pii

AIAN-23-107

journal_volume

23

pub_type

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