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      An uncommon complication of Listeria monocytogenes infection: Polyradiculoneuritis following Listeria meningoencephalitis

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          Abstract

          Listeria monocytogenes, primarily a foodborne pathogen, is commonly responsible for disorders affecting the central nervous system and cranial nerves. We hereby present the first case to our knowledge of listeriosis linked to a peripheral neurological disorder causing acute upper limb weakness.

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          Community-acquired Listeria monocytogenes meningitis in adults.

          Matthijs C Brouwer, J Gans, Sebastiaan G B Heckenberg … (2006)
          Listeria monocytogenes is the third most common cause of bacterial meningitis. We prospectively evaluated 30 episodes of community-acquired L. monocytogenes meningitis, confirmed by culture of cerebrospinal fluid specimens, in a nationwide study in The Netherlands. Outcome was graded using the Glasgow outcome score; an unfavorable outcome was defined as a score of 1-4. We found 30 episodes of L. monocytogenes meningitis. All patients were immunocompromised or > 50 years old. In 19 (63%) of 30 patients, symptoms were present for > 24 h; in 8 patients (27%), symptoms were present for > or = 4 days. The classic triad of fever, neck stiffness, and change in mental status was present in 13 (43%) of 30 patients. An individual cerebrospinal fluid indicator of bacterial meningitis was present in 23 (77%) of 30 cases. Gram staining of cerebrospinal fluid samples revealed the causative organism in 7 (28%) of 25 cases. The initial antimicrobial therapy was amoxicillin based for 21 (70%) of 30 patients. The coverage of initial antimicrobial therapy was microbiologically inadequate for 9 (30%) of the patients. The mortality rate was 17% (5 of 30), and 8 (27%) of 30 patients experienced an unfavorable outcome. Inadequate initial antimicrobial therapy was not related to outcome. In contrast with previous reports, we found that patients with meningitis due to L. monocytogenes do not present with atypical clinical features; however, typical cerebrospinal fluid findings predictive for bacterial meningitis might be absent. A high proportion of patients received initial antimicrobial therapy that did not cover L. monocytogenes.
          Article 0 comments Cited 72 times – based on 0 reviews     Review now
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            Listeria monocytogenes sequence type 6 and increased rate of unfavorable outcome in meningitis: epidemiologic cohort study.

            Merel M Koopmans, Matthijs C Brouwer, Merijn Bijlsma … (2013)
            We analyzed clinical characteristics, treatment, genetic diversity, and outcome of 92 adults with Listeria monocytogenes meningitis included in 2 prospective nationwide cohort studies.
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              Anti-GD1a antibody is associated with axonal but not demyelinating forms of Guillain-Barré syndrome.

              G Wang, I Nachamkin, Peter Ho … (1999)
              Immunopathological studies suggest that the target of immune attack is different in the subtypes of Guillain-Barré syndrome (GBS). In acute motor axonal neuropathy (AMAN), the attack appears directed against the axolemma and nodes of Ranvier. In acute inflammatory demyelinating polyneuropathy (AIDP), the attack appears directed against a component of the Schwann cell. However, the nature of the antigenic targets is still not clear. We prospectively studied 138 Chinese GBS patients and found that IgG anti-GD1a antibodies were closely associated with AMAN but not AIDP. With a cutoff titer of greater than 1:100, 60% of AMAN versus 4% of AIDP patients had IgG anti-GD1a antibodies; with a cutoff titer of greater than 1:1,000, 24% of AMAN patients and none of the AIDP patients had IgG anti-GD1a antibodies. In contrast, low levels of IgG anti-GM1 antibodies (> 1:100) were detected in both the AMAN and the AIDP forms (57% vs 35%, NS). High titers of IgG anti-GM1 (>1:1,000) were more common in the AMAN form (24% vs 8%, NS). Serological evidence of recent Campylobacter infection was detected in 81% of AMAN and 50% of AIDP patients, and anti-ganglioside antibodies were common in both Campylobacter-infected and noninfected patients. Our results suggest that IgG anti-GD1a antibodies may be involved in the pathogenesis of AMAN.
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                Author and article information

                Contributors
                N. Tebib
                O. Bill
                Journal
                Journal ID (nlm-ta): IDCases
                Journal ID (iso-abbrev): IDCases
                Title: IDCases
                Publisher: Elsevier
                ISSN (Electronic): 2214-2509
                Publication date PMC-release: 09 March 2018
                Publication date Collection: 2018
                Publication date (Electronic): 09 March 2018
                Volume: 12
                Pages: 101-103
                Affiliations
                [a ]Department of Internal Medicine, GHOL, Nyon, Switzerland
                [b ]Stroke Unit, GHOL, Nyon, Switzerland
                Author notes
                [* ]Corresponding authors at: Nyon Hospital (GHOL), Chemin Monastier, 10-1260 Nyon, Switzerland. nathalie.tebib@ 123456gmail.com olivier.bill@ 123456ghol.ch
                Article
                Publisher ID: S2214-2509(17)30254-8
                DOI: 10.1016/j.idcr.2018.03.010
                PMC ID: 6010957
                SO-VID: ab01d96e-1f46-4e95-adc4-5eec0831e467
                Copyright © © 2018 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 30 December 2017
                Date revision received : 7 March 2018
                Date accepted : 7 March 2018
                Categories
                Subject: Article

                Keywords: meningoencephalitis,listeria monocytogenes,polyradiculoneuritis,guillain-barre syndrome
                Data availability:
                Keywords: meningoencephalitis, listeria monocytogenes, polyradiculoneuritis, guillain-barre syndrome

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