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Listeria monocytogenes 척수염

Listeria monocytogenes Myelitis

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초록

Listeria myelitis is known to be very rare and not reported yet in Korea. A 78-year-old man with diabetes mellitus and hepatocellular carcinoma presented altered mentality, paraparesis, and fever. His spinal cord MRI, cerebrospinal fluid study, and blood culture demonstrated thoracic myelitis caused by Listeria monocytogenes. This case suggests that listeria myelitis should be considered as one of the causes of non-tumorous myelopathy especially in immunocompromised patients.

Abstract

Listeria myelitis is known to be very rare and not reported yet in Korea. A 78-year-old man with diabetes mellitus and hepatocellular carcinoma presented altered mentality, paraparesis, and fever. His spinal cord MRI, cerebrospinal fluid study, and blood culture demonstrated thoracic myelitis caused by Listeria monocytogenes. This case suggests that listeria myelitis should be considered as one of the causes of non-tumorous myelopathy especially in immunocompromised patients.

참고문헌 (9)

  1. 김미애, "Listeria monocytogenes에 의한 다발성 뇌농양 1예", 대한신경과학회지, 21(3), pp.11~303 (2003), 대한신경과학회
  2. Gellin BG, "Listeriosis", JAMA, 261, pp.1313~1320 (1989)
  3. Cone LA, "Multiple cerebral abscesses because of Listeria monocytogenes: three case reports and a literature review of supratentorial listerial brain abscesses", Surg Neurol, 59, pp.320~328 (2003)
  4. Niemann RE, "Listeriosis in adults: a changing pattern. Report of eight cases and review of the literature, 1968-1978", Rev Infect Dis, 2, pp.207~227 (1980)
  5. Josephson SA, "Neurolisteriosis presenting as cervical myelitis in an immunocompetent patient", Neurology, 66, pp.1122~1123 (2006)
  6. Jones EM, "Treatment of listeria meningitis", Lancet, 350, pp.1034~ (1997)
  7. Choi JW, "Listeria monocytogenes meningitis in a patient with systemic lupus erythmatosus", J Korean Rheum Assoc, 10, pp.320~324 (2003)
  8. Mylonakis E, "Central nervous system infection with Listeria monocytogenes. 33 years’ experience at a general hospital and review of 776 episodes from the literature", Medicine (Baltimore), 77, pp.313~336 (1998)
  9. Morrison RE, "Spinal cord abscess caused by Listeria monocytogenes", Arch Neurol, 37, pp.243~244 (1980)

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