Rapidly Progressive Ophthalmoplegia and Brainstem-Cerebellar Dysfunction in Rhombencephalitis Caused by Listeria monocytogenes
10.21790/rvs.2017.16.1.29
- Author:
Sung Sik KIM
1
;
Jong Hun KIM
;
Jin Heui LEE
;
Seung Han LEE
Author Information
1. Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea. nrshlee@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Listeria monocytogenes;
Ophthalmoplegia;
Encephalitis;
Brain Stem;
Cerebellum
- MeSH:
Aged;
Anti-Bacterial Agents;
Brain Stem;
Central Nervous System Infections;
Cerebellum;
Encephalitis;
Female;
Fever;
Headache;
Humans;
Immunocompromised Host;
Listeria monocytogenes;
Listeria;
Magnetic Resonance Imaging;
Middle Aged;
Ophthalmoplegia;
Pregnant Women
- From:Journal of the Korean Balance Society
2017;16(1):29-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Listeria monocytogenes (L. monocytogenes) is a rare, but important bacterial pathogen causing central nervous system infection in the elderly, pregnant women, and immunocompromised patients. A 60-year-old man with diabetes presented with headache, fever and rapidly progressive ophthalmoplegia. Based on serological and MRI studies, he was diagnosed with rhombencephalitis due to L. monocytogenes. The patient recovered without complications with urgent initiation of empirical antibiotics and the pathogen-specific antibiotic treatment. L. monocytogenes should be considered as a cause of rhombencephalitis presenting as external ophthalmoplegia.
