Cerebral listeria abscess in a patient with gastric cancer].

S Stöve, A Feldmann, J Bäsecke

Abteilung Neurologie, Katholische Kliniken Oldenburger Münsterland, St.-Josefs-Stift Cloppenburg, Cloppenburg.

Deutsche medizinische Wochenschrift (1946) 2013 Apr

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HISTORY AND PRESENTATION ON ADMISSION: A 70-year-old woman with a history of gastric cancer and palliative chemotherapy was admitted with disturbed consciousness. The cranial CT showed a tumor in the left parietocccipital region so that a cerebral metastasis was suspected. However further investigations including cranial MRT, liquor and blood culture collection showed that the immunocompromised patient suffered from a Listeria monocytogenes sepsis with subsequent meningitis and a cerebral abscess. During an antibiotic treatment with ampicillin and gentamycin a rapid neurological improvement and normalization of the liquor findings was achieved. Listeria monocytogenes is a rare but relevant cause of systemic inflammations in immunocompromised patients. The differentiation between cerebral abscess and metastasis in cancer patients can be complex but is important concerning differential therapeutic approaches. © Georg Thieme Verlag KG Stuttgart · New York.

Citation

S Stöve, A Feldmann, J Bäsecke. Cerebral listeria abscess in a patient with gastric cancer]. Deutsche medizinische Wochenschrift (1946). 2013 Apr;138(14):737-9