Case Report
The Journal of the Korean Rheumatism Association 2009; 16(4): 333-337
Published online December 30, 2009
© Korean College of Rheumatology
전신홍반루푸스 환자에서 양측 가돌림 신경마비로 발현된 리스테리아 뇌수막염 1예
황유미ㆍ곽승기ㆍ김지민ㆍ윤호성ㆍ주지현ㆍ박경수ㆍ박성환ㆍ김호연
가톨릭대학교 의과대학 서울성모병원 내과학교실 류마티스내과
Listeria Monocytogenes Meningitis Presenting with Bilateral Abducens Nerve Palsy in a Patient with Systemic Lupus Erythematosus
Correspondence to : Seung-Ki Kwok
Infection still remains a major cause of morbidity and mortality in systemic lupus erythematosus (SLE). Patients with SLE are well known to have an increased risk of various opportunistic infections, which can be fatal. Central nervous system (CNS) infections such as meningitis are rare complications to SLE. On occasion, nonspecific neurologic manifestations of infectious meningitis in SLE patients can be confused with neuropsychiatric lupus. Listeria monocytogenes is a less-commonly identified organism causing meningitis in SLE patients. Here, we describe a case of Listeria monocytogenes meningitis presenting with bilateral abducens nerve (sixth cranial nerve) palsy in a patient with SLE, who was successfully treated with systemic antibiotics.
Keywords Systemic lupus erythematosus, Listeria monocytogenes, Meningitis, Neuropsychiatric lupus
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Case Report
The Journal of the Korean Rheumatism Association 2009; 16(4): 333-337
Published online December 30, 2009
Copyright © Korean College of Rheumatology.
전신홍반루푸스 환자에서 양측 가돌림 신경마비로 발현된 리스테리아 뇌수막염 1예
황유미ㆍ곽승기ㆍ김지민ㆍ윤호성ㆍ주지현ㆍ박경수ㆍ박성환ㆍ김호연
가톨릭대학교 의과대학 서울성모병원 내과학교실 류마티스내과
Listeria Monocytogenes Meningitis Presenting with Bilateral Abducens Nerve Palsy in a Patient with Systemic Lupus Erythematosus
You-mi Hwang, Seung-Ki Kwok, Ji-Min Kim, Ho-Sung Yoon, Ji Hyeon Ju, Kyung-Su Park, Sung-Hwan Park, Ho-Youn Kim
Division of Rheumatology, Department of Internal Medicine, School of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea
Correspondence to:Seung-Ki Kwok
Abstract
Infection still remains a major cause of morbidity and mortality in systemic lupus erythematosus (SLE). Patients with SLE are well known to have an increased risk of various opportunistic infections, which can be fatal. Central nervous system (CNS) infections such as meningitis are rare complications to SLE. On occasion, nonspecific neurologic manifestations of infectious meningitis in SLE patients can be confused with neuropsychiatric lupus. Listeria monocytogenes is a less-commonly identified organism causing meningitis in SLE patients. Here, we describe a case of Listeria monocytogenes meningitis presenting with bilateral abducens nerve (sixth cranial nerve) palsy in a patient with SLE, who was successfully treated with systemic antibiotics.
Keywords: Systemic lupus erythematosus, Listeria monocytogenes, Meningitis, Neuropsychiatric lupus
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