A Delayed Cerebral Vasospasm with Infarction Is Secondary to Listeria monocytogenes Meningitis: MRI and MRA Are Diagnostically Useful.

Abstract

Among patients with bacterial meningitis, a cerebral vasospasm typically occurs during the acute phase. We experienced a case of delayed cerebral vasospasm with infarction that was secondary to Listeria monocytogenes meningitis. An 82-year-old woman with Listeria monocytogenes meningitis, whose symptoms had been improving after the initiation of antibacterial therapy, fell into a coma on day 15 and developed generalized seizure. Magnetic resonance imaging (MRI) and MR angiography (MRA) indicated a cerebral vasospasm with multiple infarctions. The risk of vascular complications following acute bacterial meningitis requires close follow-up to identify neurological changes and a low threshold for vascular evaluation. In such cases, MRI and MRA have diagnostic utility.

• Authors: Toshiyuki Kobayashi, Hiroshi Tadokoro, Tsuyoshi Odai, Takenori Hibino, Kanami Waki
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 54 Issue 22 Pg. 2935-8 ( 2015) ISSN: 1349-7235 [Electronic] Japan
• PMID: 26568013 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Gentamicins
• Ampicillin

Topics

• Aged, 80 and over
• Ampicillin (administration & dosage)
• Anti-Bacterial Agents (administration & dosage)
• Cerebral Infarction (drug therapy, etiology, microbiology)
• Female
• Gentamicins (administration & dosage)
• Humans
• Magnetic Resonance Angiography
• Magnetic Resonance Imaging
• Meningitis, Bacterial (complications)
• Meningitis, Listeria (complications, diagnosis, drug therapy)
• Vasospasm, Intracranial (diagnosis, drug therapy, microbiology)