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KMID : 0384119930130040625
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Korean Journal of Clinical Pathology
1993 Volume.13 No. 4 p.625 ~ p.630
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A Case of Listeria monocytogenes Meningitis in a Patient with Pulmonary Tuberculosis
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Abstract
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Human infections due to Listeria monocytogenes are uncommon and occur primarily in people with decreased cell-mediated immunity. The most frequently recognized clinical forms hve been meningitis and septicemia. We report a case of L.
monocytogenes
meningitis in a 70-year-cld male with active pulmonary tuberculosis. He was hospitalized because of chills, fever, vomiting, nuchal rigidity and anarthria, and the initial picture was that of acute meningitis. Blood cultures were negative but a
spinal
fluid culture yielded L. monocytogenes. The isolate was susceptible to cephalothin, penicillin, erythromycin, tetracycline, gentamicin, chloramphenicol and ampicillin, intermediate to clindamycin, and resistant to oxacillin by the disk diffusion
test.
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