Dierich M P, Kasper W
Dtsch Med Wochenschr. 1981 Jun 26;106(26):837-9. doi: 10.1055/s-2008-1070411.
Listeria monocytogenes meningitis was observed in a 24-year-old obese patient. Morphology and serology of CSF bacterial isolates indicated beta-haemolytic streptococci group B first. However, further differentiation permitted certain classification as Listeria monocytogenes serovar 4b. Treatment with erythromycin (2 g/d) and gentamicin (40 mg t.i.d.) led to rapid improvement of clinical symptoms.
一名24岁肥胖患者被诊断为单核细胞增生李斯特菌脑膜炎。脑脊液细菌分离株的形态学和血清学检查最初显示为B组β溶血性链球菌。然而,进一步鉴别后确定为单核细胞增生李斯特菌4b血清型。使用红霉素(2克/天)和庆大霉素(40毫克,每日三次)治疗后,临床症状迅速改善。