Listeria Rhombencephalitis Mimicking Tuberculous Meningitis

Rev Infect Dis. Jan-Feb 1987;9(1):130-3. doi: 10.1093/clinids/9.1.130.


A previously healthy man developed a progressive neurologic illness characterized by an "aseptic meningitis syndrome," progressive hypoglycorrhachia, and severe brain-stem dysfunction. Initial dramatic response to antituberculosis therapy supported the diagnosis of tuberculous basilar meningitis; however, Listeria monocytogenes eventually grew in a blood culture, and the patient recovered following intravenous ampicillin therapy. The entity of listerial rhombencephalitis should be considered as a treatable cause of acute, progressive brain-stem meningoencephalitis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Diagnosis, Differential
  • Humans
  • Listeria monocytogenes / isolation & purification
  • Listeriosis / diagnosis*
  • Male
  • Meningoencephalitis / diagnosis*
  • Middle Aged
  • Rhombencephalon
  • Tuberculosis, Meningeal / diagnosis*