Abstract

Introduction: Listeria monocytogenes (LM) is an anaerobic gram-positive bacillus, that enters the host body mainly through the intestine. Brain abscesses due to LM are extremely rare and are mostly seen in patients with risk factors. Case report: We present the case of a 70-year-old patient with a history of rheumatoid arthritis who presented an acute neurological deficit, with no headaches or fever. The diagnosis was confirmed after an open surgical biopsy. The patient underwent ampicillin treatment for four weeks, with an unfavorable evolution. Conclusion: L. monocytogenes brain abscess is an uncommon pathology, with a poor prognosis. Surgery combined with antibiotics improves the outcome.

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