Aggressive brainstem listeria abscess in an immunocompetent individual: A case report.
Pankhuri Banerjee, Destiny Marquez, Alexandra S Reynolds et al.
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Case in brief
An immunocompetent patient in their late 50s presented with neurolisteriosis characterized by multifocal brainstem abscesses. The case involved an extensive negative infectious workup and a complex antibiotic regimen. Despite a prolonged critical illness, the patient experienced a remarkable recovery, highlighting the potential for positive outcomes in aggressive treatment of neurologic infections.
Diagnostic / clinical pearl
Clinicians should consider listeriosis in immunocompetent patients presenting with neurological symptoms, as it can manifest as multifocal brainstem abscesses despite a negative infectious workup.
Why it matters
This case emphasizes the importance of maintaining a high index of suspicion for listeriosis in the context of recent outbreaks, even in patients without typical risk factors.