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Case Reports in Neurological Medicine
Volume 2014 (2014), Article ID 674321, 4 pages
http://dx.doi.org/10.1155/2014/674321
Case Report

Listerial Rhombencephalitis in an Immunocompetent Woman

Department of Infectious Diseases and Neuroinfections, Medical University of Białystok, Żurawia 14, 15-540 Białystok, Poland

Received 11 May 2014; Accepted 30 June 2014; Published 13 July 2014

Academic Editor: Reiji Koide

Copyright © 2014 Piotr Czupryna et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Listeriosis usually affects immunocompromised patients including elderly people and pregnant women, but it may also affect otherwise healthy individuals. In our report, we present a case of a rare and very severe form of listeriosis-rhombencephalitis in a 61-year-old female with no history of immunosuppression, who, because of history, clinical picture, and laboratory results as well as negative cultures, was at first diagnosed with viral encephalitis. This paper underlines that Listeria monocytogenes infection should be taken into consideration in case of lymphocytic encephalitis even in immunocompetent patients. Typical MRI picture may be crucial in establishing a proper diagnosis as the lab results may be misleading.