DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20202912

Listeria monocytogenes brain abscess in an immunocompromised patient: a case report

Vinit Suri, S. Chatterjee, Rohini Handa, Swapnil Jain, Mohit Kalangi Venkata Naga, Kanika Suri

Abstract


Listeria monocytogenes is a facultative intracellular gram-positive bacillus which usually infects immunocompromised patients, though it can infrequently infect immunocompetent individuals, neonates and pregnant women as well. Neurological manifestations include meningitis and cerebritis. Brain Abscess is an extremely rare presentation with approximately 80 reported cases. Authors report a patient with a brain abscess identified on an MRI scan with positive blood culture for Listeria monocytogenes. Patient was managed conservatively with intravenous followed by oral antibiotics with resolution of the abscess.

 


Keywords


Abscess, Brain, Listeria

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References


Kaplan MM. Listerellosis. N Engl J Med. 1945;232:755-9.

Cone LA, Leung MM, Byrd RG, Annunziata GM, Lam RY, Herman BK. Multiple cerebral abscesses because of Listeria monocytogenes: three case reports and a literature review of supratentorial listerial brain abscess (es). Surg Neurol. 2003 Apr 1;59(4):320-8.

Disson O, Lecuit M. Targeting of the central nervous system by Listeria monocytogenes. Virulence. 2012;3(2):213-21.

Tiri B, Priante G, Saraca LM, Martella LA, Cappanera S, Francisci D. Listeria monocytogenes Brain Abscess: Controversial Issues for the Treatment-Two Cases and Literature Review. Case Reports Infect Dis. 2018;65:494-96.

Frade HC, Pingili C, Nattanamai P. Multiple Listeria Abscesses in an Immunocompetent Patient. Cureus. 2020 Jan;12(1).

Flores-Perez RO, Villarreal-Villarreal CD, Cardenas-de La Garza JA, Galarza-Delgado DA. Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis. Ann Indian Acad Neurol. 2020 Jan;23(1):107.

Lorber B. Listeriosis. Clinical Infect Dis. 1997;24:1-11.

Coste JF, Duval V. Unusual location of a brain abscess due to Listeria monocytogenes. Pathol Biol (Paris). 2012 Oct;60(5):e45-8.

Al-Khatti AA, Al-Tawfiq JA. Listeria monocytogenes brain abscess in a patient with multiple myeloma. J Infect Dev Ctries. 4:849-51.