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Cited by 306

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Brainstem Encephalitis (Rhombencephalitis) Due to Listeria monocytogenes: Case Report and Review

Armstrong, R. W., Fung, P. C.·1993·Clinical Infectious Diseases

Abstract

Listerial brainstem encephalitis is a rare disease. Only 62 cases have been reported previously; all were in adults, only 8% of whom were immunosuppressed. The disease has a characteristic biphasic course: a nonspecific prodrome of headache, nausea or vomiting, and fever lasting for several days is followed by progressive asymmetrical cranial-nerve palsies, cerebellar signs, hemiparesis or hypesthesia, and impairment of consciousness. Neck stiffness was initially present in only 55% of the cases described thus far. Studies of cerebrospinal fluid often revealed only mild abnormalities. Cultures of cerebrospinal fluid and blood were positive in 41% and 61% of cases, respectively. Respiratory failure occurred in 41% of cases. Initial computed tomography of the brain often gave normal results; magnetic resonance imaging better demonstrated brainstem abnormalities. Overall mortality was 51%. All untreated patients died. When treatment with ampicillin or penicillin was initiated early, the rate of survival was > 70%; however, neurological sequelae developed in 61% of survivors.

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Metadata

Authors
Armstrong, R. W., & Fung, P. C.
Venue
Clinical Infectious Diseases
Published
1993-05-01
Volume
16
Issue
5
Pages
689-702
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W1976085244
Cited by
306
References
29
FWCI
4.20
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Brainstem Encephalitis (Rhombencephalitis) Due to Listeria monocytogenes: Case Report and Review. https://app.cochat.ai/papers/10.1093/clind/16.5.689
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Armstrong, R. W., & Fung, P. C. (1993). Brainstem Encephalitis (Rhombencephalitis) Due to Listeria monocytogenes: Case Report and Review. Clinical Infectious Diseases. https://doi.org/10.1093/clind/16.5.689

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.