Central nervous system infection with Listeria monocytogenes

摘要: The foodborne pathogen Listeria monocytogenes has a particular tropism for the central nervous system and can produce infection in meninges brain substance. Well-recognized clinical syndromes include meningitis, abscess, rhombencephalitis, spinal cord abscess; simultaneous of is common. Although it an uncommon cause population at large, L. important those with impaired cell-mediated immunity, whether due to underlying disease or treatment immunosuppressive therapeutic agents; etiology 20% bacterial meningitis cases neonates older than 50 years. Ampicillin considered choice, trimethoprim-sulfamethoxazole recommended allergic penicillin. At-risk patients should be advised avoid unpasteurized milk soft cheeses along deli-style, ready-to-eat prepared meats, particularly poultry products.