Romboencefalitis: una forma de infección por Listeria monocytogenes en el sistema nervioso central / Rhomboencephalitis caused by listeria monocytogenes infection in the central nervous system
Rev. méd. Chile
;
131(8): 921-928, ago. 2003.
Artículo
en Español
| LILACS
| ID: lil-356040
ABSTRACT
Listeria monocytogenes infections can involve the central nervous system in the form of a rhomboencephalitis. Three possible cases of rhomboencephalitis by Listeria monocytogenes are reported (2 females, aged 44 and 49 and a man of 36 years old). The three cases were preceded by an unspecific prodrome of headache, vertigo and fever in absence of a meningeal syndrome. The neurological stage was defined by the unilateral involvement of cranial nerves and the cerebellum and a clear inflammatory cerebrospinal fluid (CSF) with the presence of polymorphonuclear leukocytes, and normal glucose and protein levels. A magnetic nuclear resonance (MRI) showed the appearance of characteristic images, present in the bulboprotuberancial region. These images are one of the most constant features of this disease, reported in the literature. The early diagnosis of rhomboencephalitis was based on the clinical picture, the study of the CSF and the MRI, allowing the use of antimicrobials, prior to microbiological identification. Therefore, the risk of brain stem and cardiac complications of the disease is reduced.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Rombencéfalo
/
Encefalitis
/
Listeriosis
Tipo de estudio:
Estudio pronóstico
/
Estudio de tamizaje
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2003
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Militar de Santiago/CL
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