An unusual presentation of Listeria monocytogenes rhombencephalitis.
We describe a case of 52-year-old woman with a medical history of Crohn's disease presented abrupt fever, asymmetrical multiple cranial nerve palsies and focal neurological symptoms localized to the brainstem. The patient was initially diagnosed with ischaemic stroke, because of acute clinical course and results of neuroimaging. Cerebrospinal fluid analysis revealed mild infection with negative Gram staining and culture. Final diagnosis of Listeria monocytogenes brainstem infection (rhombencephalitis) was set up on the basis of further clinical course and positive blood cultures. Listerial rhombencephalitis should be kept in mind in immunocompromised adult patients who develop fever, asymmetrical multiple cranial nerve palsies and focal neurological symptoms localized to the brainstem even without typical neuroimaging, cerebrospinal fluid findings and negative cultures. Early diagnosis and adequate antibiotic treatment is of crucial importance.
['Acewicz|Albert|A|', 'Witkowski|Grzegorz|G|', 'Rola|Rafal|R|', 'Ryglewicz|Danuta|D|', 'Sienkiewicz-Jarosz|Halina|H|']
D003424:Crohn Disease D003937:Diagnosis, Differential D038524:Diffusion Magnetic Resonance Imaging D017809:Fatal Outcome D005260:Female D006801:Humans D008584:Meningitis, Listeria D008875:Middle Aged D009894:Opportunistic Infections D012249:Rhombencephalon D014057:Tomography, X-Ray Computed
Listeria monocytogenes Rhombencephalitis Brain infection Stroke mimics