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KMID : 1037620230100020072
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Pediatric Emergency Medicine Journal
2023 Volume.10 No. 2 p.72 ~ p.75
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Listeria meningitis with rapid progression of hydrocephalus: a case of a 16-month-old girl with febrile status epilepticus as the first symptom
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Kim Hye-Min
Lim Ji-Eun
Jeon Joo-Young
Kim Ji-Hye
Hwang Il-Tae
Yi Yoon-Young
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Abstract
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Listeria monocytogenes is a rare cause of bacterial meningitis, particularly beyond the neonatal period. This article describes a 16-month-old girl who presented with a new-onset febrile status epilepticus, and subsequently developed altered mentality and lethargy. L. monocytogenes was detected on a point-of-care, multiplex polymerase chain reaction using the cerebrospinal fluid. On day 3, she developed a rapidly progressive hydrocephalus. Her consciousness improved after placement of an external ventricular drain. After 3-week antibiotic therapy, she was successfully discharged without residual complications.
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KEYWORD
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Hydrocephalus, Listeria, Meningitis, Multiplex Polymerase Chain Reaction, Seizures, Febrile
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