Listeriosis MRI: Difference between revisions
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==Overview== | ==Overview== | ||
Brain [[MRI]] may be helpful in the [[diagnosis]] of ''[[Listeria monocytogenes]]'' brain lesions. Findings on [[MRI]] suggestive of listeriosis include lesions in the [[cerebellum]], [[brainstem]], and [[cortex]].<ref name="pmid8507761">{{cite journal| author=Armstrong RW, Fung PC| title=Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review. | journal=Clin Infect Dis | year= 1993 | volume= 16 | issue= 5 | pages= 689-702 | pmid=8507761 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8507761 }} </ref> High-signal lesions on T2-weighted images and enhancing lesions on T1-weighted images can be identified in the [[cerebral]] [[parenchyma]] on MRI following administration of [[IV]] [[Contrast medium|contrast]]. With a high pre-test probability, [[brainstem]] involvement on [[MRI]] is strongly suggestive of listeriosis. Contrast [[MRI]] is recommended among all patients presenting with listerial [[meningitis]], listerial [[bacteremia]], suggestive [[CNS]] signs and symptoms or upon suspicion of intracranial [[listeriosis]]. | [[Brain]] [[MRI]] may be helpful in the [[diagnosis]] of ''[[Listeria monocytogenes]]'' brain lesions. Findings on [[MRI]] suggestive of listeriosis include lesions in the [[cerebellum]], [[brainstem]], and [[cortex]].<ref name="pmid8507761">{{cite journal| author=Armstrong RW, Fung PC| title=Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review. | journal=Clin Infect Dis | year= 1993 | volume= 16 | issue= 5 | pages= 689-702 | pmid=8507761 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8507761 }} </ref> High-signal lesions on T2-weighted images and enhancing lesions on T1-weighted images can be identified in the [[cerebral]] [[parenchyma]] on [[MRI]] following administration of [[IV]] [[Contrast medium|contrast]]. With a high pre-test probability, [[brainstem]] involvement on [[MRI]] is strongly suggestive of listeriosis. Contrast [[MRI]] is recommended among all patients presenting with listerial [[meningitis]], listerial [[bacteremia]], suggestive [[CNS]] signs and symptoms or upon suspicion of intracranial [[listeriosis]]. | ||
==MRI== | ==MRI== | ||
*Brain [[MRI]] may be helpful in the [[diagnosis]] of ''[[Listeria monocytogenes]]'' brain lesions. Findings on [[MRI]] suggestive of listeriosis include lesions in the [[cerebellum]], [[brainstem]], and [[cortex]].<ref name="pmid8507761">{{cite journal| author=Armstrong RW, Fung PC| title=Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review. | journal=Clin Infect Dis | year= 1993 | volume= 16 | issue= 5 | pages= 689-702 | pmid=8507761 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8507761 }} </ref> | *Brain [[MRI]] may be helpful in the [[diagnosis]] of ''[[Listeria monocytogenes]]'' brain lesions. Findings on [[MRI]] suggestive of listeriosis include lesions in the [[cerebellum]], [[brainstem]], and [[cortex]].<ref name="pmid8507761">{{cite journal| author=Armstrong RW, Fung PC| title=Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review. | journal=Clin Infect Dis | year= 1993 | volume= 16 | issue= 5 | pages= 689-702 | pmid=8507761 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8507761 }} </ref> | ||
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*With a high pre-test probability, [[brainstem]] involvement on [[MRI]] is strongly suggestive of listeriosis. | *With a high pre-test probability, [[brainstem]] involvement on [[MRI]] is strongly suggestive of listeriosis. | ||
*Since [[brainstem]] involvement on [[MRI]] is strongly suggestive of listeriosis, contrast [[MRI]] is recommended among all patients presenting with listerial [[meningitis]], listerial [[bacteremia]], suggestive [[CNS]] signs and symptoms or upon suspicion of intracranial [[listeriosis]]. | *Since [[brainstem]] involvement on [[MRI]] is strongly suggestive of listeriosis, contrast [[MRI]] is recommended among all patients presenting with listerial [[meningitis]], listerial [[bacteremia]], suggestive [[CNS]] signs and symptoms or upon suspicion of intracranial [[listeriosis]]. | ||
*[[Subcortical]] [[abscesses]] are a common finding on [[MRI]] in patients with rhomboencephalitis due to [[Listeria]]. Most common sites for these [[abscesses]] include the [[thalamus]], [[pons]] and [[medulla]].<ref name="pmid18926754">{{cite journal |vauthors=Kayaaslan BU, Akinci E, Bilen S, Gözel MG, Erdem D, Cevik MA, Bodur H |title=Listerial rhombencephalitis in an immunocompetent young adult |journal=Int. J. Infect. Dis. |volume=13 |issue=2 |pages=e65–7 |year=2009 |pmid=18926754 |doi=10.1016/j.ijid.2008.06.026 |url=}}</ref><ref name="pmid8507761">{{cite journal |vauthors=Armstrong RW, Fung PC |title=Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review |journal=Clin. Infect. Dis. |volume=16 |issue=5 |pages=689–702 |year=1993 |pmid=8507761 |doi= |url=}}</ref> | *[[Subcortical]] [[abscesses]] are a common finding on [[MRI]] in patients with rhomboencephalitis due to [[Listeria|''Listeria'']]. Most common sites for these [[abscesses]] include the [[thalamus]], [[pons]] and [[medulla]].<ref name="pmid18926754">{{cite journal |vauthors=Kayaaslan BU, Akinci E, Bilen S, Gözel MG, Erdem D, Cevik MA, Bodur H |title=Listerial rhombencephalitis in an immunocompetent young adult |journal=Int. J. Infect. Dis. |volume=13 |issue=2 |pages=e65–7 |year=2009 |pmid=18926754 |doi=10.1016/j.ijid.2008.06.026 |url=}}</ref><ref name="pmid8507761">{{cite journal |vauthors=Armstrong RW, Fung PC |title=Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review |journal=Clin. Infect. Dis. |volume=16 |issue=5 |pages=689–702 |year=1993 |pmid=8507761 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
Revision as of 23:00, 23 February 2017
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Listeriosis MRI On the Web |
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American Roentgen Ray Society Images of Listeriosis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Brain MRI may be helpful in the diagnosis of Listeria monocytogenes brain lesions. Findings on MRI suggestive of listeriosis include lesions in the cerebellum, brainstem, and cortex.[1] High-signal lesions on T2-weighted images and enhancing lesions on T1-weighted images can be identified in the cerebral parenchyma on MRI following administration of IV contrast. With a high pre-test probability, brainstem involvement on MRI is strongly suggestive of listeriosis. Contrast MRI is recommended among all patients presenting with listerial meningitis, listerial bacteremia, suggestive CNS signs and symptoms or upon suspicion of intracranial listeriosis.
MRI
- Brain MRI may be helpful in the diagnosis of Listeria monocytogenes brain lesions. Findings on MRI suggestive of listeriosis include lesions in the cerebellum, brainstem, and cortex.[1]
- High-signal lesions on T2-weighted MRI images and enhancing lesions on T1-weighted MRI images can be identified in the cerebral parenchyma following administration of IV contrast.
- With a high pre-test probability, brainstem involvement on MRI is strongly suggestive of listeriosis.
- Since brainstem involvement on MRI is strongly suggestive of listeriosis, contrast MRI is recommended among all patients presenting with listerial meningitis, listerial bacteremia, suggestive CNS signs and symptoms or upon suspicion of intracranial listeriosis.
- Subcortical abscesses are a common finding on MRI in patients with rhomboencephalitis due to Listeria. Most common sites for these abscesses include the thalamus, pons and medulla.[2][1]
References
- ↑ 1.0 1.1 1.2 Armstrong RW, Fung PC (1993). "Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review". Clin Infect Dis. 16 (5): 689–702. PMID 8507761.
- ↑ Kayaaslan BU, Akinci E, Bilen S, Gözel MG, Erdem D, Cevik MA, Bodur H (2009). "Listerial rhombencephalitis in an immunocompetent young adult". Int. J. Infect. Dis. 13 (2): e65–7. doi:10.1016/j.ijid.2008.06.026. PMID 18926754.