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Document Details :
Title: Een 76-jarige man met koorts en een neurologisch beeld
Author(s): PIETERMANS S, RÄDISCH T, VANDEVELDE M, MARCQ P, DARQUENNES K
Journal: Tijdschrift voor Geneeskunde
Volume: 72 Issue: 12 Date: 2016
A 76-year-old patient with an uncommon presentation of meningitis
A 76-year-old patient with confusion, a fever and decrease of consciousness is brought to the emergency department. The clinical, biochemical and radiological examination of the patient did not reveal a clear-cut explanation for the inflammation. Given the fever and confusion, a lumbar puncture is done and shows signs of bacterial meningitis, but contradictorily, with elevated glucose levels. A culture of Listeria monocytogenes is found in the blood, indicating Listeria meningitis.
Listeria monocytogenes is the third most common cause of bacterial meningitis. It is caused by drinking raw milk, eating raw cheese or raw meat and is the third leading cause of death among foodborne bacterial pathogens. Newborns, pregnant women and immunocompromised patients have a higher risk of infection with Listeria monocytogenes.