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Volume 39, Number 3, June 2006

Acute symptomatic hydrocephalus in Listeria monocytogenes meningitis


Chun-Chieh Yang, Chao-Hung Yeh, Tsung-Chia Tsai, Wen-Liang Yu
Departments of Intensive Care Medicine,Neurosurgery and Radiology, Chi-Mei Medical Center, Tainan County; and Department of Medicine, Taipei Medical University, Taipei, Taiwan

Received: July 8, 2005    Revised: September 15, 2005    Accepted: October 6, 2005   

 

Corresponding author:

Dr. Wen-Liang Yu, Department of Intensive Care Medicine, Chi-Mei Medical Center, 901, Chung Hwa Road, Yung Kang City, Tainan 710, Taiwan. E-mail: yuleon_md@yahoo.com.tw This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

 



 

Methods:

Listeria monocytogenes meningitis appears to have increased in incidence. Although most reported cases of listeriosis involve the central nervous system, brain computed tomography is usually normal. Hydrocephalus is a common complication of tuberculous meningitis, which has a high prevalence in Taiwan. However, patients with L. monocytogenes meningitis rarely develop the complication of symptomatic hydrocephalus. We report a patient with L. monocytogenes meningitis who presented with persistent alteration of consciousness after appropriate antimicrobial therapy. Follow-up brain computed tomography revealed acute hydrocephalus. An Ommaya reservoir was implanted, and daily drainage of the cerebrospinal fluid was performed. The patient improved gradually and his mental status recovered completely 4 days later. This case should remind physicians to be aware of the possible occurrence of hydrocephalus in L. monocytogenes meningitis and that prompt cerebrospinal fluid drainage may achieve a good outcome.

 



 

Key words:

Hydrocephalus, Listeria monocytogenes, meningitis


 



 

J Microbiol Immunol Infect 2006;39:255-258.