A case of acute meningitis induced by Listeria monocytogenes: opportunistic infection in a chronic hemodialysis patient

Abstract

A 66-year-old man on regular HD was admitted to our hospital with high fever, headache and impaired consciousness. Diagnosis of acute meningitis was made, and bacterial examination of the cerebrospinal fluid revealed that the cause of the meningitis was Listeria monocytogenes 1 b. Administration of an antibiotic (ABPC 6.0g/day IV) successfully treated the condition. Listeriosis should be considered in the differential diagnosis of opportunistic infection in chronic hemodialysis patients. Appropriate antibiotic treatment is important for good prognosis.