Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
| Autor: | Romulo Omar Flores-Perez, Cesar Daniel Villarreal-Villarreal, Jesus Alberto Cardenas-de La Garza, Dionicio Angel Galarza-Delgado |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Annals of Indian Academy of Neurology, Vol 23, Iss 1, Pp 107-109 (2020) |
| Druh dokumentu: | article |
| ISSN: | 0972-2327 1998-3549 |
| DOI: | 10.4103/aian.AIAN_233_18 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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