[Rombencephalitis due to XXXX . Probable usefulness of @entity619 associated with antibiotic treatment].

@entity1 @entity801 @entity3308 @entity75 @entity16 @entity5125 @entity693 @entity619 @entity1576 @entity869 @entity1662 @entity10 @entity221 @entity413
INTRODUCTION: Infection of the central nervous system by @entity5125 appears in most cases as acute @entity693 which is indistinguishable from other types of acute @entity693 . Rombencephalitis is a rare form of neurolisteriosis, localized to the brainstem. The initial non specific symptoms may make early diagnosis difficult. CASE REPORT: We describe the clinical case of a previously healthy @entity1 who had @entity5125 infection localized to the brainstem. Her initial symptoms were @entity221 and @entity10 followed by signs of @entity3308 , @entity1662 and severe @entity1576 which made mechanical ventilation necessary. Study of the cerebrospinal fluid showed lymphocytic pleocytosis, raised protein and normal @entity413 levels. @entity5125 was isolated on blood culture. Cranial computerized tomography was normal and magnetic resonance showed a @entity75 . After receiving specific antibiotic treatment the infectious condition improved. However, the @entity16 started to improve when @entity619 was added to the antibiotic treatment twelve days later. The @entity1 was discharged from hospital with slight neurological sequelas. CONCLUSION: In a febrile @entity1 with signs of @entity3308 , neurolisteriosis should be suspected and @entity869 and @entity801 added to the treatment. The possibility of acute @entity1576 occurring makes it necessary to monitor these @entity1 closely. The association of @entity619 to the antibiotic treatment may be useful in some cases of rombencephalitis due to @entity5125 .
