Yılmaz, Gülden; Arslan, Ayla; Yalçı, Aysun; Us, Ebru; Çalgın, Kerem; Kurt, Halil
September 2013
Nobel Medicus Journal;Sep-Dec2013, Vol. 9 Issue 3, p136
Academic Journal
Listeria monocytogenes is not a common cause of infection. It may be a cause of life-threatening infections like bacteremia and central nervous system (CNS) infections. We report a 29-year-old man admitted to emergency room with headache, fever, nausea-vomitting, weakness of right upper and lower extremities and aphasia, who presented with listeria meningoencephalitis after steroid treatment due to polymyositis. The treatment with ampicillin and gentamicin, was changed because of side effects to trimethoprim-sulfamethoxazole and vancomycin. Under this treatment, trarisaminases of the patient increased. The reasons of acute hepatitis were investigated and Cytomegalovirus (CMV) DNA level was 2494 copy/ml, revealing CMV hepatitis. Gancyclovir treatment was started. The patient was discharged with aire after 42 days of antibacterial treatment and 23 days of antiviral therapy.


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