A CASE-STUDY OF RHOMBENCEPHALITIS DUE TO LISTERIA-MONOCYTOGENES

We report the case of a 57-year-old man with Listeria rhombencephaliti s. This had been ascertained by means of Listeria isolation from the c erebrospinal fluid. After an nonspecific prodromial period with nausea and headache. he developed fever, meningism, brain stem dysfunction a nd an organic psychosis. With early antibiotic therapy (ampicillin/gen tamycin), it was possible to bring about a restitio ad integrum. Diffe rent brain-imaging methods (computed tomography, MRI, brain SPECT) in the acute and follow-up stages are discussed.