Staudinger R, Levine D, Swaminathan B, Zagzag D
Department of Neurology, New York University, NY 10016, USA.
Ann Neurol. 2000 Oct;48(4):661-5.
An elderly man experienced recurrent transient episodes of right arm weakness and expressive aphasia. He was initially treated with aspirin and then with coumadin. Thirteen days after initial presentation, he became febrile and had signs of meningitis. The illness progressed relentlessly to death 9 weeks after admission to the hospital. Necropsy showed prominent meningitis with vasculitis extending into the left frontal lobe. Polymerase chain reaction identified the organism as Listeria monocytogenes.
一名老年男性经历了右臂无力和表达性失语的反复发作的短暂性发作。他最初接受阿司匹林治疗，随后接受华法林治疗。首次就诊13天后，他发热并出现脑膜炎症状。入院9周后，病情持续恶化直至死亡。尸检显示显著的脑膜炎，血管炎延伸至左额叶。聚合酶链反应鉴定该病原体为单核细胞增生李斯特菌。
