https://doi.org/10.4081/itjm.2013.384

Stroke-like manifestations in a patient with Listeria monocytogenes abscess and Horton's arteritis

Vol. 8 No. 1 (2014)
Submitted: 8 May 2013
Accepted: 27 June 2013
Published: 8 November 2013
stroke, Listeria monocytogenes, cerebral abscess, immunosuppression.
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Authors

Dimitri Peterlana
dimitri.peterlana@apss.tn.it
Internal Medicine Unit, S. Chiara Hospital, APSS, Trento, Italy.
Susanna Cozzio
Internal Medicine Unit, S. Chiara Hospital, APSS, Trento, Italy.
Domenico Marco Bonifatti
Stroke Unit, Department of Neurosciences, S. Chiara Hospital, APSS, Trento, Italy.
Walter Spagnolli
Internal Medicine Unit, S. Chiara Hospital, APSS, Trento, Italy.
Brain abscesses due to Listeria monocytogenes are rare and are a clinical challenge. We report the case of a 72-year old female patient under immunosuppressive treatment for Horton's arteritis who was admitted with an initial diagnosis of ischemic stroke. Further workup revealed listerial abscesses as the cause of her neurological symptoms. She was treated with ampicillin plus gentamicin with an excellent outcome. In spite of the rarity of this entity, immunosuppresive drugs are the most important predisposing factors. These drugs are widely used and consequently there is an increased number of subjects at risk of listerial brain abscesses.

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How to Cite

Peterlana, D., Cozzio, S., Bonifatti, D. M., & Spagnolli, W. (2013). Stroke-like manifestations in a patient with Listeria monocytogenes abscess and Horton’s arteritis. Italian Journal of Medicine, 8(1), 64–68. https://doi.org/10.4081/itjm.2013.384

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