Rare Case of Meningoencephalitis by Listeria monocytogenes in a Young ImmunocomRare Case of Meningoencephalitis by Listeria monocytogenes in a Young Immunocompetent Adult | Chapter 8 | Disease and Health Research: New Insights Vol. 6petent Adult | Chapter 8 | Disease and Health Research: New Insights Vol. 6

The aim of this paper is to consider L. monocytogenes as a possible atypical etiological agent of meningoencephalitis in patients without immunocompromise. Meningoencephalitis secondary to Listeria monocytogenes (L. monocytogenes) mainly affects newborns, the elderly, and immunocompromised people; there are extremely rare cases in which said infection occurs in immunocompetent individuals. The case of a young adult immunocompetent patient, with no known risk factors, who developed encephalitis, has been presented. The patient was treated with empirical antibiotic therapy, to which there was no response. Days later, a culture of the cerebrospinal fluid led to the diagnosis of Listeria monocytogenes infection. However, the patient died due to brain herniation. This case is exceptional, since it occurred in an individual outside the classic age group, in addition to not having risk factors, which is why it should be considered an atypical causal agent. Regimens without gentamicin may be preferable for patients who have impaired renal function or are taking other nephrotoxic drugs, such as cyclosporine.

 

Author (s) Details

Janette Alejandra Gamiño Gutierrez
Departamento de Neurocirugia, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, México.

Gustavo Adolfo Hernández Valdez
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

 

Arleth Anahí Montaño Gómez
Departamento de Neurocirugia, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, México.

Jorge Morales Rojas
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

Graciela Gaddy Robles Martinez
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

 

Anahi Herrera Ruelas
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México

 

Alin Kaori Ferreyra Gudiño
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

 

Jocelin Celeste Jurado Cardona
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

Jimena Jexabeth Ibáñez Núñez
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

 

Anahí Fierros Ramos
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México.

 

Please see the book here:- https://doi.org/10.9734/bpi/dhrni/v6/2359