Linezolid and dexamethasone experience in a serious case of listeria rhombencephalitis

• Main Authors: Pakize Ö. Yılmaz, Nevzat M. Mutlu, Ahmet Sertçelik, Aliye Baştuğ, Cihangir Doğu, Sümeyye Kışlak
• Format: Article
• Language: English
• Published: Elsevier 2016-09-01
• Series: Journal of Infection and Public Health
• Online Access: http://www.sciencedirect.com/science/article/pii/S1876034116000095

Summary: Listeria rhombencephalitis is a rare cause of brain stem encephalitis. We report a case with a history of immunosupressive therapy due to Takayasu's arteritis that was treated with corticosteroids and linezolid for Listeria rhombencephalitis.A 63-year-old woman was admitted to the hospital with fever, headache, nausea, and vomiting. The patient's body temperature was 38 °C, and she had a stiff neck. Listeria monocytogenes was isolated from the cerebrospinal fluid (CSF), and penicillin G and gentamicin treatment was initiated. Linezolid and dexamethasone were added. Due to hematuria and thrombocytopenia, the linezolid was discontinued.In immunocompromised patients with CNS infections, Listeria rhombencephalitis should be suspected. Linezolid can be used in combination with dexamethasone. Keywords: Listeria rhombencephalitis, Linezolid, Dexamethasone