An elderly man experienced recurrent transient episodes of right arm weakness and expressive aphasia. He was initially treated with aspirin and then with coumadin. Thirteen days after initial presentation, he became febrile and had signs of meningitis. The illness progressed relentlessly to death 9 weeks after admission to the hospital. Necropsy showed prominent meningitis with vasculitis extending into the left frontal lobe. Polymerase chain reaction identified the organism as Listeria monocytogenes.

译文

:一位老人经历了右臂无力和表现性失语的反复短暂发作。他最初接受阿司匹林治疗,然后接受香豆素治疗。初次就诊后13天,他发热并出现脑膜炎迹象。入院9周后,该病无情地发展到死亡。尸检显示明显的脑膜炎,血管炎延伸至左额叶。聚合酶链反应鉴定该生物为单核细胞增生性李斯特菌。

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