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- 5 Rapidly progressive ophthalmoplegia and brainstem-cerebellar dysfunction in rhombencephalitis caused by Listeria monocytogenes
- Sung Sik Kim, Jong-Hun Kim, Jin-Heui Lee, Seung-Han Lee
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DOI: https://doi.org/ [Accepted]
Published online: February 28, 2017
Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
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Corresponding author:
Seung-Han Lee, Tel: +82-62-220-6173, Fax: +82-62-228-3461,
Email: nrshlee@chonnam.ac.kr
Received: 7 February 2017 • Accepted: 28 February 2017
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Abstract
Listeria monocytogenes is a rare, but important bacterial pathogen causing central nervous system infection in the elderly, pregnant women, and immunocompromised patients. A 60-year-old man with diabetes presented with headache, fever and rapidly progressive ophthalmoplegia. Based on serological and MRI studies, he was diagnosed with rhombencephalitis due to Listeria monocytogenes. The patient recovered without complications with urgent initiation of empirical antibiotics and the pathogen-specific antibiotic treatment. Listeria monocytogenes should be considered as a cause of rhombencephalitis presenting as external ophthalmoplegia.
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