误诊为急性播散性脑脊髓炎的单核细胞增生李斯特菌脑干脑炎合并脊髓炎一例

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中图分类号：R378.99；R744.3 文献标识码：B 文章编号：1000-503X（2025）04-0673-06

DOI：10.3881/j.issn.1000-503X.16340

Listeria Brainstem Encephalitis With Myelitis Misdiagnosed as Acute Disseminated Encephalomyelitis： Report of One Case

WU Danying， WANG Qinxue， ZHU Dongmei， GAN Yujing， HUANG Min， ZHOU Suming

DepartmentofGeriatrics IntensiveCareUnit，TheFirstAfiated HospitalofNanjing MedicalUniversity，Nanjing21029，China

Corresponding author：ZHOU Suming Tel：O25-68305052，E-mail：zhousmco@aliyun.com

ABSTRACT：Listeria brainstem encephalitiswith myelitisisextremelyrare inclinical practice.Since the clinical manifestations are non-specific，MRI is helpful for diagnosis.Positive cerebrospinal fluid culture is considered thegold standard for diagnosis.Thisarticlereportsacaseof an immunocompetent individual with listeria brainstem encephalitis with myelitis，aiming to enhance the awareness of this condition.

Key Words：Listeria monocytogenes；brainstem encephalitis；myelitis；acute disseminated encephalomyelitis

ActaAcadMedSin，2025，47（4）：673-678

单核细胞增生李斯特菌（Listeriamonocytogenes，LM）脑干脑炎合并脊髓炎在临床上较为罕见，该病呈双相病程，前驱症状呈非特异性，后出现一系列脑区受累症状，脑脊液培养阳性为诊断的金标准。（剩余9179字）