Listeria meningitis: management
Evidence-based neurology checklist on listeria meningitis: management: Cerebrospinal fluid (CSF) analysis Listeria produces less pleocytosis than other types of bacterial meningitis The neutrophil count and protein levels are also lower There is also a lower frequency of positive Gram staining A…
Cerebrospinal fluid (CSF) analysis
- Listeria produces less pleocytosis than other types of bacterial meningitis
- The neutrophil count and protein levels are also lower
- There is also a lower frequency of positive Gram staining
- A relatively high CSF to blood glucose ratio is a clue to Listeria
Magnetic resonance imaging (MRI) brain
Treatment
References
- Amaya-Villar R, García-Cabrera E, Sulleiro-Igual E, et al. Three-year multicenter surveillance of community-acquired Listeria monocytogenes meningitis in adults. BMC Infect Dis 2010; 10:324.
- Laguna-Del Estal P, Lledó-Ibáñez GM, Ríos-Garcés R, Pintos-Pascual I. Meningitis due to Listeria monocytogenes in adults. Rev Neurol 2013; 56:13-18.
- Arslan F, Meynet E, Sunbul M, et al. The clinical features, diagnosis, treatment, and prognosis of neuroinvasive listeriosis: a multinational study. Eur J Clin Microbiol Infect Dis 2015; 34:1213-1221.
