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Submitted: 16 May 2007
HERDIN Record #: PCHRDPC021070

Listeria brain abscess in a kidney transplant recipient.

 Uy, Jean D,
 Tan, Dave B,
 Chua, Jennifer A

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We report a case of 64 year old male, Chinese with a sudden onset of seizure, focal neurologic deficit and deterioration of sensorium. He had kidney transplant few months prior to admission in China and was maintained on chronic immunosuppression using tacrolimus, mycophenolate and prednisone. Early diagnosis of listeriosis was established by blood culture and direct gram staining. CT scan likewise facilitated the diagnosis. Prompt administration of antibiotics (Ampicillin 2 gm/IV q4h x 8 weeks and Gentamycin 80mg/IV g12h x 4 weeks) and surgical evacuation altered the course to a favorable one. We ended with a conscious, coherent well-patient. Review of literature of similar cases showed scanty reports. (Author)

Publication Type
Journal
Title
The Philippine Journal of Microbiology and Infectious Diseases
Frequency
2001 Jan-Mar
Publication Date
Page(s)
0
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)