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Rev Infect Dis. 1987 Jan-Feb;9(1):130-3.

Listeria rhombencephalitis mimicking tuberculous meningitis.


A previously healthy man developed a progressive neurologic illness characterized by an "aseptic meningitis syndrome," progressive hypoglycorrhachia, and severe brain-stem dysfunction. Initial dramatic response to antituberculosis therapy supported the diagnosis of tuberculous basilar meningitis; however, Listeria monocytogenes eventually grew in a blood culture, and the patient recovered following intravenous ampicillin therapy. The entity of listerial rhombencephalitis should be considered as a treatable cause of acute, progressive brain-stem meningoencephalitis.

[Indexed for MEDLINE]

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