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| Authors: | Antonios Platnaris Athanasios Hatzimichael Sofia Ktenidou-Kartali Kosmas Kontoyiannides Konstantinos Kollios John Anagnostopoulos Emmanuel Roilides |
| Affiliation: | (1) 3rd Pediatric Department, Aristotle University, Hippokration Hospital, Konstantinoupoleos 49, 54642 Thessaloniki, Greece;(2) Pediatric Department, Demokrition University Hospital, 68100 Alexandroupolis, Greece;(3) Microbiology Department, Demokrition University Hospital, 68100 Alexandroupolis, Greece;(4) Surgery Department, Demokrition University Hospital, 68100 Alexandroupolis, Greece;(5) Neurosurgery Department, Aristotle University, Hippokration Hospital, 54642 Thessaloniki, Greece |
| Abstract: | We report a very unusual case of meningoencephalitis due to Listeria monocytogenes in a 7-month-old immunocompetent boy. Cerebrospinal fluid (CSF) culture was initially negative, but was positive on the seventh day. The disease was complicated by seizures and hydrocephalus managed with temporary ventriculostomy. The infant was discharged without obvious neurological sequelae after 30 days and developed without neurological or developmental sequelae at two years of age. Listeria is difficult to isolate and is not susceptible to third-generation cephalosporins commonly used for the empirical treatment of bacterial meningitis. |
| Keywords: | Listeria Meningoencephalitis Infant Immunocompetent Hydrocephalus |
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