Brain abscess due to Listeria monocytogenes after HELLP syndrome in a patient with antiphospholipid syndrome

被引：4

作者：

Fervienza, A. ^{[1
]}

Bodro, M. ^{[2
]}

Castro, P. ^{[3
]}

Hernandez, S. ^{[1
]}

Teixido, I. ^{[1
]}

Espinosa, G. ^{[4
]}

Cervera, R. ^{[4
]}

机构：

[1] Hosp Clin Barcelona, Maternal Fetal Med Dept, Barcelona 08036, Catalonia, Spain

[2] Hosp Clin Barcelona, Infect Dis Dept, Barcelona, Catalonia, Spain

[3] Hosp Clin Barcelona, Med Intens Care Unit, Barcelona, Catalonia, Spain

[4] Hosp Clin Barcelona, Autoimmune Dis Dept, Barcelona, Catalonia, Spain

来源：

LUPUS | 2017年 / 26卷 / 09期

关键词：

Antiphospholipid syndrome; Listeria monocytogenes; pregnancy;

D O I：

10.1177/0961203316682856

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective To illustrate an unusual case of Listeria cerebral abscess. Material and methods A 32-year-old pregnant woman with thrombotic antiphospholipid syndrome (APS) received corticotherapy for two weeks due to hemolysis, elevated liver enzymes, low platelet (HELLP) syndrome. After delivery she presented with neurological symptoms and fever. Results The MRI scan confirmed the presence of a brain abscess, and Listeria monocytogenes was isolated in blood cultures. After eight weeks of antibiotic treatment, the patient presented no sequelae. ConclusionL. monocytogenes should be included in the differential diagnosis of patients with fever and neurological dysfunction, especially in those with a recent history of corticotherapy.

引用

页码：1002 / 1004

页数：3