Resumo

ZUNIGA, Mauricio et al. Multiple brain abscesses caused by Listeria monocytogenes in a patient infected with human immunodeficiency virus, the first case reported in Colombia. Infect. [online]. 2011, vol.15, n.1, pp.44-48. ISSN 0123-9392.

The manifestations of Listeria monocytogenes central nervous system infection are wide, ranging from meningitis to cerebral abscesses. Those are clinically indistinguishable from other forms of cerebral abscesses. We are describing a HIV positive woman who presented with generalized tonicclonic seizures, progressive alter mental status, evidence of lymphocytic pleocytosis and multiple hypodense lesions that enhanced with contrastae on imaging studies (CT and MRI) Listeria monocytogenes was isolated of cefaloraquid liquid cultures. After a specific antibiotic treatment regimen associated with steroids, improved neurological symptoms and concomitant documented a progressive decrease until disappearance of the lesions in the CNS imaging follow. Listeria monocytogenes is a cause of brain abscesses in immunosuppressed patients especially HIV patients without antiretroviral therapy and without prophylaxis with trimethoprim / sulfamethoxazole.

Palavras-chave : Listeria monocitogenes; Abscesos cerebrales; Infección por VIH.

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