Bach M C, Davis K M
Rev Infect Dis. 1987 Jan-Feb;9(1):130-3. doi: 10.1093/clinids/9.1.130.
A previously healthy man developed a progressive neurologic illness characterized by an "aseptic meningitis syndrome," progressive hypoglycorrhachia, and severe brain-stem dysfunction. Initial dramatic response to antituberculosis therapy supported the diagnosis of tuberculous basilar meningitis; however, Listeria monocytogenes eventually grew in a blood culture, and the patient recovered following intravenous ampicillin therapy. The entity of listerial rhombencephalitis should be considered as a treatable cause of acute, progressive brain-stem meningoencephalitis.
一名既往健康的男性患上了一种进行性神经系统疾病，其特征为“无菌性脑膜炎综合征”、进行性脑脊液低糖以及严重的脑干功能障碍。最初对抗结核治疗的显著反应支持结核性基底脑膜炎的诊断；然而，血培养最终培养出单核细胞增生李斯特菌，患者在接受静脉氨苄西林治疗后康复。李斯特菌性菱形脑炎应被视为急性、进行性脑干脑膜脑炎的可治疗病因。
