Ulloa-Gutierrez Rolando, Avila-Agüero Maria L, Huertas Eduardo
Servicio de Infectología, Hospital Nacional de Niños de Costa Rica, San José, Costa Rica.
Pediatr Emerg Care. 2004 Apr;20(4):233-7. doi: 10.1097/01.pec.0000121243.99242.a9.
We describe 3 previously healthy Costa Rican children who had Listeria monocytogenes meningitis, an uncommon cause of bacterial meningitis beyond the newborn period in normal subjects. Two of them had initial normal brain computed tomography, but all 3 developed acute hydrocephalus at days 7, 3, and 5, respectively. All required immediate ventriculostomy placement and only 1 of 3 survived. L. monocytogenes should be considered among the etiologies of bacterial meningitis in children who do not respond initially to conventional antimicrobial treatment or who deteriorate rapidly.
我们描述了3名先前健康的哥斯达黎加儿童，他们患有单核细胞增生李斯特菌脑膜炎，这是正常人群新生儿期以外细菌性脑膜炎的罕见病因。其中2名儿童最初脑部计算机断层扫描正常，但3名儿童分别在第7天、第3天和第5天均出现急性脑积水。所有人都需要立即进行脑室造瘘术，3人中只有1人存活。对于最初对传统抗菌治疗无反应或迅速恶化的儿童细菌性脑膜炎病因，应考虑单核细胞增生李斯特菌。
