A Case of Listeria Rhomboencephalitis with Misleading Imaging Presentation and Laboratory Findings

Authors

  • Adrien De Minteguiaga Departement of Radiology, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
  • Anna Paola Bocchio, MD Departement of Radiology, Cliniques Universitaires Saint Luc, Bruxelles, Belgium
  • Valeria Onofrj, MD Departement of Radiology, Cliniques Universitaires Saint Luc, Bruxelles, Belgium

DOI:

https://doi.org/10.3941/jrcr.5584

Abstract

Listeria rhomboencephalitis (LR)  is  an  uncommon,  sporadically  occurring  form  of  listerial  infection  that  progresses  rapidly  and  is  invariably  fatal  unless  treated  early . Cases  are  often  undetected.  LR is  characterised  by  a  prodromal  febrile  illness  followed by the abrupt onset of cranial nerve deficits associated  with  cerebellar ataxia and long-tract motor and sensory features. It can be a diagnostic challenge due to the multitude of possible differential diagnoses and also because the presentation, imaging findings, laboratory findings and course of the disease are also variable. Here we report a case with several misleading features.

81 years old female with ischemic bulbo-medullary lesion.

Downloads

Published

2025-07-30

Issue

Vol. 19 No. 7 (2025)

Section

Neuroradiology

License

Copyright (c) 2025 Journal of Radiology Case Reports

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.