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Case Report

Central nervous system Listeria monocytogenes infection mimicking central nervous system idiopathic inflammatory demyelinating disease

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Pages 255-259 | Published online: 22 Jan 2019

Figures & data

Figure 1 MRI findings and OB found in the CSF on admission.

Notes: MRI of the brain revealed nodular regions of abnormal signal in the medulla oblongata and cervical cord, characterized by hyper-intensity on (A) T2-weighted and (B) flair sequences (arrow). (C and D) Nodular enhancing lesions were detected in the medulla oblongata and cervical cord (arrow). (E) OB found in the CSF (arrow).

Abbreviations: CSF, cerebrospinal fluid; MRI, magnetic resonance imaging; OB, oligoclonal band.

Figure 1 MRI findings and OB found in the CSF on admission.Notes: MRI of the brain revealed nodular regions of abnormal signal in the medulla oblongata and cervical cord, characterized by hyper-intensity on (A) T2-weighted and (B) flair sequences (arrow). (C and D) Nodular enhancing lesions were detected in the medulla oblongata and cervical cord (arrow). (E) OB found in the CSF (arrow).Abbreviations: CSF, cerebrospinal fluid; MRI, magnetic resonance imaging; OB, oligoclonal band.

Figure 2 MRI findings and bacterial cultures when the patient’s condition worsened.

Notes: Repeat MRI was performed and the lesions were found not only in the brainstem but also in the cerebellum with a hyper-intensity on (A) T2-weighted and (B) flair sequences (arrow). (C) Bacterial cultures were taken and Lm was identified. (D and E) The lesions were found patched or ring gadolinium-enhanced with abscess-like appearances (arrow). (F) Gram staining of the bacteria.

Abbreviations: Lm, Listeria monocytogenes; MRI, magnetic resonance imaging.

Figure 2 MRI findings and bacterial cultures when the patient’s condition worsened.Notes: Repeat MRI was performed and the lesions were found not only in the brainstem but also in the cerebellum with a hyper-intensity on (A) T2-weighted and (B) flair sequences (arrow). (C) Bacterial cultures were taken and Lm was identified. (D and E) The lesions were found patched or ring gadolinium-enhanced with abscess-like appearances (arrow). (F) Gram staining of the bacteria.Abbreviations: Lm, Listeria monocytogenes; MRI, magnetic resonance imaging.