Research Article

Listeria monocytogenes Meningitis in Adults: The Czech Republic Experience

Table 1

Demographic, clinical, and laboratory characteristics of adults with L. monocytogenes meningitis.

VariablePatients

Age years]163 (26–80)
Elderly ≥65 years15/31 (48)
Gender
 Female14/31 (45)
 Male17/31 (55)
Severe immunosuppression9/31 (29)
 Haematologic malignancy5
 Long-term corticosteroids3
 HIV infection1
Other immunosuppressive comorbidity10/31 (32)
 Diabetes mellitus5
 Alcoholic liver disease3
 Autoimmune disease2
Arterial hypertension214/31 (45)
Time to treatment [hours]148 (12–96)
 ≤48 hours26/31 (84)
Symptoms at presentation3
 Fever31/31 (100)
 Altered mental status27/31 (87)
 Headache19/23 (83)
 Meningism22/31 (71)
 Vomiting6/23 (26)
 Seizures 4/26 (15)
 Fever, meningism, altered mental status21/31 (68)
 GCS score111 (3–15)
  ≤83/31 (10)
CSF findings1
 CSF leukocytes 1/μL 680 (133–6,666)
 CSF protein g/L 2.6 (0.6–7.6)
 CSF/serum glucose ratio0.28 (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.