Altı yaşındaki çocukta Listeria menenjiti

Listeria monocytogenes sağlıklı çocuklarda nadiren menenjite neden olur. Kliniğimize baş ağrısı ve ateş yüksekliği ile başvuran 6 yaşındaki erkek olgunun daha önceden tamamen sağlıklı olduğu öğrenilmiştir. Meningiyal irritasyon bulguları pozitif olan olgunun beyin omurilik sıvısında (BOS) 1950 lö'kosit/mm3 (% 90 polimorf nüveli lökosit), glukoz 30 mg/dl (eş zamanlı kan glukozu 100 mg/dl), protein 70 mg/dl (15-45 mg/dl) olarak saptanmıştır. Olguya menenjit tanısıyla sefotaksim (200 mglkglgün) başlanmıştır. BOS kültüründe L.monocytogenes üremiş, tedavi ampisilin (300 mglkglgün) olarak değiştirilmiştir. Olgunun immünolojik tetkikleri normal bulunmuştur. Tamamen iyileşen olgu yatışının 4. haftasında taburcu edilmiştir. Bu olgu Listeria menenjitinin nadir görülmesi nedeniyle sunulmuştur.

Anahtar Kelimeler:

Listeria monocytogenes, Çocuk, Listeria, Menenjit, listeria

Listeria meningitis in a six year old child

Listeria monocytogenes may rarely cause meningitis in healthy children. A six year old boy was admitted to our clinic with history of high fever and headache. He was healthy before admission. Physical examination showed positive meningial irritation signs. Lumbar puncture was performed and the CSF showed a white blood cell count of 1950 cells/mm3 with 90 % polymorphonuclear leukocytes, glucose level of 30 mg/dl, protein level of 70 mg/dl. Empirical treatment with cefotaxime (200 jiglkglday) was begun for meningitis. Since Listeria monocytogenes was isolated from CSF culture, empirical treatment with cefotaxime was changed to ampicillin (300 mglkgl day). Immunological tests were normal. The patient was discharged 4 weeks after hospitalization, having completely recovered. We report this case of Listeria meningitis because it is seen extremely rare.

Keywords:

Listeria monocytogenes, Child, Listeria, Meningitis, Listeria,

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