Luthe Sarah Kyuragi, Sato Ryota, Maeda Tetsuro, Takahashi Kuniko
Urasoe General Hospital, Urasoe, Japan.
Department of Emergency and Critical Care, Urasoe General Hospital, Urasoe, Japan.
BMJ Case Rep. 2017 Mar 20;2017:bcr2017219251. doi: 10.1136/bcr-2017-219251.
is a well-known cause of meningitis in immunocompromised patients. This organism has a growing significance for community-acquired meningitis, which should have ampicillin added to the usual regimen. We describe a case of meningitis preceded by cholangitis. This case suggests gastrointestinal symptoms preceding meningitis may be a clue of listeriosis. It is important for physicians to consider as a cause of bacterial meningitis in patients with altered mental status preceded by gastrointestinal symptoms, especially in the immunocompromised population.
是免疫功能低下患者脑膜炎的常见病因。这种病原体对社区获得性脑膜炎的重要性日益增加，在常规治疗方案中应添加氨苄西林。我们描述了一例胆管炎后发生脑膜炎的病例。该病例表明，脑膜炎之前出现的胃肠道症状可能是李斯特菌病的一个线索。对于医生来说，在有胃肠道症状前驱且精神状态改变的患者中，尤其是免疫功能低下人群，将其视为细菌性脑膜炎的病因很重要。
