2003, Cilt 17, Sayı 3, Sayfa(lar) 341-343 |
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LISTERIA MONOCYTOGENES MENINGITIS: AN ADULT CASE SUCCESSFULLY TREATED WITH THE COMBINATION OF RIFAMPIN AND AMPICILLIN |
S. Sırrı KILIÇ1, İlhami ÇELIK1, Ahmet KALKAN1, Ali Osman KILIÇ2 |
1Department of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Fırat University, Elazığ 2Department of Oral Biology, College of Dentistry, University of Illinois, Chicago, USA |
Keywords: Listeria monocytogenes, meningitis, rifampin, ampicillin, treatment |
A case of meningitis due to Listeria monocytogenes is presented. The patient, a 60-year-old male, receiving the prediagnosis of acute bacterial meningitis, was first treated with ceftriaxone. Upon progression of clinical findings and consideration of his family history of tuberculosis and the compatibility of cerebrospinal fluid (CSF) findings with tuberculous meningitis, anti-tuberculous treatment was implemented. An agent was isolated in his cerebrospinal fluid 24 hours after the implementation of anti-tuberculosis treatment. The agent was identified as L. monocytogenes. All of the anti-tuberculosis drugs were stopped except rifampin to which ampicillin was added. The case was cured with the combination of ampicillin and rifampin.
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