BMJ Case Reports 2017; doi:10.1136/bcr-2017-219251

Listeria monocytogenes meningitis preceded by acute cholangitis

  1. Kuniko Takahashi1
  1. 1Urasoe General Hospital, Urasoe, Japan
  2. 2Department of Emergency and Critical Care, Urasoe General Hospital, Urasoe, Japan
  3. 3Kobe City Medical Center General Hospital, Kobe, Japan
  1. Correspondence to Dr Ryota Sato, st051035{at}
  • Accepted 7 March 2017
  • Published 20 March 2017


Listeria monocytogenes is a well-known cause of meningitis in immunocompromised patients. This organism has a growing significance for community-acquired meningitis, which should have ampicillin added to the usual regimen. We describe a case of L. monocytogenes meningitis preceded by cholangitis. This case suggests gastrointestinal symptoms preceding meningitis may be a clue of listeriosis. It is important for physicians to consider L. monocytogenes as a cause of bacterial meningitis in patients with altered mental status preceded by gastrointestinal symptoms, especially in the immunocompromised population.


  • Contributors SKL, TM and KT draft the manuscript and edited. RS supervised their work.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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