Sedney Cara L, Harshbarger Todd, Gyure Kymberly
West Virginia University, Department of Neurosurgery, USA.
W V Med J. 2012 Jul-Aug;108(4):12, 14-5.
Listeria monocytogenes is a known cause of meningitis, but cerebral abscess formation is exceedingly rare. We describe a patient who presented with an unsteady gait and a small ring-enhancing lesion in the right parietal lobe. Pathologic evaluation demonstrated an abscess with associated microglial nodules, and culture revealed Listeria. In spite of the rarity of this entity, immunosuppression has been noted to be a predisposing factor. Our patient had diabetes mellitus and chronic obstructive pulmonary disease with recent prednisone administration, both very common ailments in the population of West Virginia.
单核细胞增生李斯特菌是脑膜炎的已知病因，但脑脓肿形成极为罕见。我们描述了一名患者，其表现为步态不稳，右侧顶叶有一个小的环形强化病灶。病理评估显示为伴有小胶质结节的脓肿，培养发现有李斯特菌。尽管这种情况罕见，但免疫抑制被认为是一个诱发因素。我们的患者患有糖尿病和慢性阻塞性肺疾病，近期使用过泼尼松，这在西弗吉尼亚州人群中都是非常常见的疾病。
