ABSTRACT
Listeria monocytogenes es un patógeno de origen alimentario que suele producir gastroenteritis, procesos febriles, sepsis y meningitis. Afecta característicamente a neonatos, embarazadas, ancianos e inmunocomprometidos, con una epidemiología controvertida y poco conocida. Se presenta un caso de meningitis y síndrome de secreción inadecuada de hormona antidiurética secundario en paciente inmunocompetente (AU)
Listeria monocytogenes is a foodborne pathogen that usually cause gastroenteritis, fever, sepsis and meningitis, which characteristically affects immunocompromised, newborns, pregnant women and elderly people, with controversial and unknown epidemiology. We report a case of meningitis and secondary inadequate secretion of antidiuretic hormone syndrome in immunocompetent patient (AU)
Subject(s)
Humans , Male , Child, Preschool , Meningitis, Listeria/complications , Meningitis, Listeria/diagnosis , Meningitis, Listeria/drug therapy , Listeria monocytogenes , Listeria monocytogenes/isolation & purification , Listeriosis/complications , Listeriosis/drug therapy , Cefotaxime/therapeutic use , Ampicillin/therapeutic use , Primary Health Care/methods , Meningitis, Listeria/microbiology , Meningitis, Listeria/physiopathology , Oliguria/complications , Osmolar Concentration , Hyponatremia/complications , Gastroenteritis/complicationsABSTRACT
Tuberculosis is nowadays an uncommon cause of superior vena cava syndrome (SVCS). We report the case of an HIV-infected patient who presented with respiratory symptoms accompanied by cervical and mediastinal lymphadenopathy. Sputum examination showed acid-fast bacilli, and treatment was instituted with isoniazid, rifampicin, pyrazinamide and ethambutol. A few days later SVCS developed, presumably as a consequence of inflammatory lymphadenitis. With corticosteroids, all symptoms disappeared. To our knowledge, no cases of SVCS provoked by this kind of paradoxical reaction have been described previously.