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Neurological picture
Listeria rhombencephalitis with hydrocephalus
  1. Karthik Vinay Mahesh1,
  2. Ritu Shree1,
  3. Jimil Shah2,
  4. Manish Modi1
  1. 1 Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2 Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Manish Modi, Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India; modim72{at}yahoo.com

https://doi.org/10.1136/jnnp-2020-322989

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    Introduction

    We report an uncommon case of Listeria rhombencepalitis in an immunocompromised 60-year-old man on azathioprine for his ulcerative colitis, who presented with fever, altered sensorium and headaches. His MRI (figure 1A–C) was characteristic for rhombencepalitis and associated meningitis with hydrocephalus. His total leucocyte counts were 22 000 cells/mm3; cerebrospinal fluid (CSF) showed 450 cells, all …

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    Footnotes

    • Contributors KVM: drafting of the manuscript, RS: manuscript revision and correction, JS: provided intensive care treatment and management for the patient, MM: concept of the paper and final approval.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement All data relevant to the study are included in the article