Listeria meningitis associated with tonsillar herniation in an immunocompetent school-aged child.

Autor:	Nguyen TLT; Pediatrics, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA thao.l.nguyen@uth.tmc.edu., Bista B; Pediatrics, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA., Ellsworth MG; Pediatrics, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA., Dahm PH; Pediatrics, The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, Texas, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Jan 03; Vol. 16 (1). Date of Electronic Publication: 2023 Jan 03.
DOI:	10.1136/bcr-2022-251398
Abstrakt:	Listeria monocytogenes can cause severe illnesses such as gastroenteritis, sepsis and neurolisteriosis, especially in infants, the elderly and immunocompromised patients. We report a case of a previously healthy school-aged girl presenting with severe neurological deficits found to have Listeria meningoencephalitis. Her potential exposure to L. monocytogenes was consumption of contaminated cheese. She had some clinical improvement after initiation of tailored Listeria anti-microbial coverage with ampicillin and gentamicin; however, she developed hydrocephalus requiring external ventricular drain placement and tonsillar herniation requiring emergent posterior fossa decompression. The patient made significant improvements after neurosurgical intervention, and along with continued antibiotics and subsequent rehabilitation services, she improved to near full recovery within a year. The case highlights that neurolisteriosis can affect even immunocompetent children, and aggressive neurosurgical interventions should be considered in patients who develop severe complications such as hydrocephalus and tonsillar herniation to improve outcomes. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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