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01-01-2018 | Case Based Review

A rare case of meningoencephalitis by Listeria monocytogenes in systemic lupus erythematosus: case report and review

Authors: Tian-Yan Shi, Yong-Feng Zhang, Xu-Hua Shi, Xiao-Hong Wen, Xin Dong, Juan Meng, Hai-Yun Li, Xiao-Xu Yuan, Yi Zheng, Yue-Wu Lu

Published in: Clinical Rheumatology | Issue 1/2018

Abstract

Patients with systemic lupus erythematosus (SLE) have a high risk of infection. Central nervous system infection and neuropsychiatric SLE are both major causes of death. It is vital to distinguish between these two conditions to improve prognosis due to the treatment paradigms required for each condition. Here, we report one case of meningoencephalitis by Listeria monocytogenes (LM) in a patient with SLE who presented with fever and developed headache and altered in consciousness in the hospital. The cerebrospinal fluid culture was positive for LM, and magnetic resonance imaging (MRI) findings were suggestive of ependymitis and periventricular white matter lesions. Amoxicillin/sulbactam, trimethoprim-sulfamethoxazole, and rifampicin were administered for 8 weeks. The patient had a relative good recovery without serious neurological sequelae after a follow-up of nearly 2 years. MRI abnormalities also had obvious resolution.

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Title: A rare case of meningoencephalitis by Listeria monocytogenes in systemic lupus erythematosus: case report and review
Authors: Tian-Yan Shi
Yong-Feng Zhang
Xu-Hua Shi
Xiao-Hong Wen
Xin Dong
Juan Meng
Hai-Yun Li
Xiao-Xu Yuan
Yi Zheng
Yue-Wu Lu
Publication date: 01-01-2018
Publisher: Springer London
Published in: Clinical Rheumatology / Issue 1/2018
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-017-3783-6

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