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  • Title: Listeria monocytogenes meningitis preceded by acute cholangitis.
    Author: Luthe SK, Sato R, Maeda T, Takahashi K.
    Journal: BMJ Case Rep; 2017 Mar 20; 2017():. PubMed ID: 28320704.
    Abstract:
    Listeria monocytogenes is a well-known cause of meningitis in immunocompromised patients. This organism has a growing significance for community-acquired meningitis, which should have ampicillin added to the usual regimen. We describe a case of L. monocytogenes meningitis preceded by cholangitis. This case suggests gastrointestinal symptoms preceding meningitis may be a clue of listeriosis. It is important for physicians to consider L. monocytogenes as a cause of bacterial meningitis in patients with altered mental status preceded by gastrointestinal symptoms, especially in the immunocompromised population.
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