• Gabriel Horta-Baas, Omar Guerrero-Soto, and Leonor Barile-Fabris.
• Servicio de Reumatología, Hospital General Regional 220, Instituto Mexicano del Seguro Social, Toluca de Lerdo, Estado de México, México. Electronic address: gabho@hotmail.com.
• Reumatol Clin. 2013 Nov 1; 9 (6): 340-7.

IntroductionInfections in patients with systemic lupus erythematosus cause significant morbidity. Infection due to Listeria monocytogenes (LM) is considered an opportunistic disease, and has been published on rare occasions in patients with SLE.ObjectiveTo review the presentation of listeria infections in the central nervous system (CNS) in SLE patients.MethodologyWe conducted a literature review, selecting cases with central nervous system infection and confirmation of LM infection through culture.ResultsTwenty six cases are described. The most common presentation was meningitis, with meningoencephalitis and brain abscesses being less frequent. The predisposing factors are: use of glucocorticoids, immunosuppressants, renal replacement therapy and the activity flares.ConclusionCNS infection by listeria is rare and sometimes fatal. The atypical presentation may lead to a delay in diagnosis and appropriate treatment. L. monocytogenes should be included in the differential diagnosis of patients with SLE with neurological manifestations.Copyright © 2013 Elsevier España, S.L. All rights reserved.

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