Listeria rhombencephalitis with hydrocephalus

We report an uncommon case of Listeria rhombencepalitis in an immunocompromised 60-year-old man on azathioprine for his ulcerative colitis, who presented with fever, altered sensorium and headaches. His MRI (figure 1A–C) was characteristic for rhombencepalitis and associated meningitis with hydrocephalus. His total leucocyte counts were 22 000 cells/mm3; cerebrospinal fluid (CSF) showed 450 cells, all …