• Junliang Zhang, Shuangfeng Huang, Luyao Xu, Manli Tao, Yujun Zhao, and Zhigang Liang.
• Department of Neurology, Yantai Yuhuangding Hostipal Affiliated to Qingdao University.
• Medicine (Baltimore). 2021 Aug 6; 100 (31): e26839.

RationaleListeria monocytogenes infective encephalitis is a rare phenomenon, which is more common in people with changed eating habits and immunodeficiency. To the best of our knowledge, listeria brain abscess is even more rare. In this case report, we summarized the clinical characteristics of listeria brain abscess, in order to explore the diagnosis and treatment of Listeria brain abscess, and raise awareness and attention to the disease.Patient ConcernsA 64-years-old female patient presented to our institution with 4 days of right arm and leg weakness, the salient past history of the patient was nephrotic syndrome, membranous nephropathy diagnosed 6 months prior, for which she was prescribed glucocorticoids and cyclophosphamide.DiagnosisListeria monocytogenes was cultured in the blood of the patient. Comprehensive medical history and imaging features, she was diagnosed as listeria brain abscess.InterventionsThe patient underwent ampicillin combined with meropenem but not surgery.OutcomesThe patient recovered without complications. At a 3-month follow-up visit, the condition was better than that before treatment.LessonsListeria brain abscess is an unusual form of listeriosis, its clinical manifestations lack specificity. Early accurate diagnosis and standardized treatment can effectively promote the recovery of neurological function as well as reduce the morbidity and mortality and improve the prognosis.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

37 keywords...

hide…