Abstract
Brain abscess caused by Listeria monocytogenes (LM) is a rare, yet serious condition with high mortality if not recognized and treated timely. We present a series of three cases of LM brain abscesses and describe their characteristic radiological appearances which can be considered very typical. LM abscesses frequently present as markedly irregular formations, revealing characteristic worm-like tubular pattern of chaotic curvilinear arrangement. Knowledge of this imaging pattern can be very helpful in early recognition of LM abscesses whose initial differential diagnosis can often be misleading initially.
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Sakarunchai I, Saeheng S, Oearsakul T, Sanghan N (2016) Listeria monocytogenes brain abscess on MR imaging mimicking the track of a migrating worm like a sparganum: a case report. Interdiscip Neurosurg 5:9–11
Tiri B, Priante G, Saraca LM et al (2018) Listeria monocytogenes brain abscess: controversial issues for the treatment—two cases and literature review. Case Rep Infect Dis 2018:1–9
Bojanowski MW, Seizeur R, Effendi K, Bourgouin P, Magro E, Letourneau-Guillon L (2015) Spreading of multiple Listeria monocytogenes abscesses via central nervous system fiber tracts: case report. J Neurosurg 123:1593–1599
Cariou S, Lassel L, Moreau A-S et al (2017) Clinical features and prognostic factors of listeriosis: the MONALISA national prospective cohort study. Lancet Infect Dis 17:510–519
Lorber B (1997) Listeriosis. Clin Infect Dis 24:1–11
Vázquez-Boland JA, Krypotou E, Scortti M (2017) Listeria placental infection. MBio 8:e00949–e00917
Karlsson WK, Harboe ZB, Roed C, Monrad JB, Lindelof M, Larsen VA, Kondziella D (2017) Early trigeminal nerve involvement in Listeria monocytogenes rhombencephalitis: case series and systematic review. J Neurol 264:1875–1884
Uldry PA, Kuntzer T, Bogousslavsky J, Regli F, Miklossy J, Bille J, Francioli P, Janzer R (1993) Early symptoms and outcome of Listeria monocytogenes rhombencephalitis: 14 adult cases. J Neurol 240:235–242
Eckburg PB, Montoya JG, Vosti KL (2001) Brain abscess due to Listeria monocytogenes: five cases and a review of the literature. Medicine (Baltimore) 80:223–235
Peh WM, Goh GH, Yong HRC (2018) The tunnel sign revisited: a novel observation of cerebral melioidosis mimicking sparganosis. J Radiol Case Rep 12:1–11
Mano T, Saito M, Yoshizawa T (2017) Axonal invasion of Listeria monocytogenes: implications for early diagnosis with magnetic resonance imaging. J Neurol Sci 373:7–8
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Slezák, O., Žižka, J., Kvasnička, T. et al. Worm-like appearance of Listeria monocytogenes brain abscess: presentation of three cases. Neuroradiology 62, 1189–1193 (2020). https://doi.org/10.1007/s00234-020-02441-9
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DOI: https://doi.org/10.1007/s00234-020-02441-9