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Two cases of listeria rhombencephalitis

Two cases of listeria rhombencephalitis
Two cases of listeria rhombencephalitis

Listeria rhombencephalitis (LRE) is a rare encephalitis of the hindbrain that can present with a variety of neurological symptoms. It is a diagnostic challenge, but prompt antimicrobial therapy is important to prevent high rates of mortality and morbidity. We report two cases of LRE, with several contrasting clinical features and different disease courses. Despite being rare, it is important to consider listeria in patients with possible meningoencephalitis, even if cultures are negative. Empirical treatment of meningoencephalitis should provide coverage for listeria, especially if the patient is at risk of listeriosis or there is a potential history of listeria exposure.

Encephalitis, Hindbrain, Listeria monocytogenes, Meningoencephalitis, Rhombencephalitis
2214-2509
22-25
Mansbridge, Christopher Thomas
bea1bb71-8594-4a52-945e-2ef03bbcc4c9
Grecu, Irina
91bf3662-0f0f-4cda-afcc-66966c3f5f63
Li Voon Chong, Jimmy SW
c8d8f66f-abe8-4b82-9190-17a353f7fd74
Vandervelde, Clive
c3a862d9-a4d4-4259-abc2-f21c62d17d56
Saeed, Kordo
afa560de-bf18-45a9-87b5-241b5ddcfc4a
Mansbridge, Christopher Thomas
bea1bb71-8594-4a52-945e-2ef03bbcc4c9
Grecu, Irina
91bf3662-0f0f-4cda-afcc-66966c3f5f63
Li Voon Chong, Jimmy SW
c8d8f66f-abe8-4b82-9190-17a353f7fd74
Vandervelde, Clive
c3a862d9-a4d4-4259-abc2-f21c62d17d56
Saeed, Kordo
afa560de-bf18-45a9-87b5-241b5ddcfc4a

Mansbridge, Christopher Thomas, Grecu, Irina, Li Voon Chong, Jimmy SW, Vandervelde, Clive and Saeed, Kordo (2018) Two cases of listeria rhombencephalitis. IDCases, 11, 22-25. (doi:10.1016/j.idcr.2017.12.002).

Record type: Article

Abstract

Listeria rhombencephalitis (LRE) is a rare encephalitis of the hindbrain that can present with a variety of neurological symptoms. It is a diagnostic challenge, but prompt antimicrobial therapy is important to prevent high rates of mortality and morbidity. We report two cases of LRE, with several contrasting clinical features and different disease courses. Despite being rare, it is important to consider listeria in patients with possible meningoencephalitis, even if cultures are negative. Empirical treatment of meningoencephalitis should provide coverage for listeria, especially if the patient is at risk of listeriosis or there is a potential history of listeria exposure.

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Accepted/In Press date: 1 December 2017
e-pub ahead of print date: 5 December 2017
Published date: 2018
Keywords: Encephalitis, Hindbrain, Listeria monocytogenes, Meningoencephalitis, Rhombencephalitis

Identifiers

Local EPrints ID: 417427
URI: https://eprints.soton.ac.uk/id/eprint/417427
ISSN: 2214-2509
PURE UUID: 37244e79-b23c-4611-a4f4-2775d412aecf

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Date deposited: 31 Jan 2018 17:30
Last modified: 01 Feb 2018 17:30

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Contributors

Author: Christopher Thomas Mansbridge
Author: Irina Grecu
Author: Jimmy SW Li Voon Chong
Author: Clive Vandervelde
Author: Kordo Saeed

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