Listeria monocytogenes Meningitis in Adults: The Czech Republic Experience
Table 1
Demographic, clinical, and laboratory characteristics of adults with L. monocytogenes meningitis.
Variable
Patients
Age years]1
63 (26–80)
Elderly ≥65 years
15/31 (48)
Gender
Female
14/31 (45)
Male
17/31 (55)
Severe immunosuppression
9/31 (29)
Haematologic malignancy
5
Long-term corticosteroids
3
HIV infection
1
Other immunosuppressive comorbidity
10/31 (32)
Diabetes mellitus
5
Alcoholic liver disease
3
Autoimmune disease
2
Arterial hypertension2
14/31 (45)
Time to treatment [hours]1
48 (12–96)
≤48 hours
26/31 (84)
Symptoms at presentation3
Fever
31/31 (100)
Altered mental status
27/31 (87)
Headache
19/23 (83)
Meningism
22/31 (71)
Vomiting
6/23 (26)
Seizures
4/26 (15)
Fever, meningism, altered mental status
21/31 (68)
GCS score1
11 (3–15)
≤8
3/31 (10)
CSF findings1
CSF leukocytes 1/μL
680 (133–6,666)
CSF protein g/L
2.6 (0.6–7.6)
CSF/serum glucose ratio
0.28 (0.02–0.53)
Data are presented as no./total no. (%). Median range is used for continuous variables. Some patients had multiple comorbidities. Anamnestic data were not complete in eight patients.