{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T04:08:03Z","timestamp":1777349283213,"version":"3.51.4"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"36","license":[{"start":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:00:00Z","timestamp":1694304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,9,10]]},"abstract":"<jats:p>A <jats:italic>Listeria monocytogenes<\/jats:italic> \u00e1ltal okozott meningitis immunkompetens\n                    egy\u00e9nekben ritk\u00e1n el\u0151fordul\u00f3 betegs\u00e9g, bizonyos rizik\u00f3faktorok mellett azonban a\n                    k\u00f6zponti idegrendszer fert\u0151z\u00e9s\u00e9re utal\u00f3 klinikai k\u00e9p eset\u00e9n semmik\u00e9ppen sem\n                    szabad figyelmen k\u00edv\u00fcl hagyni. K\u00f6zlem\u00e9ny\u00fcnkben egy 72 \u00e9ves, m\u00e1jcirrhosisban \u00e9s\n                    hypertoni\u00e1ban szenved\u0151 f\u00e9rfi beteg <jats:italic>L. monocytogenes<\/jats:italic> \u00e1ltal\n                    okozott agyh\u00e1rtyagyullad\u00e1s\u00e1nak k\u00f3rt\u00f6rt\u00e9net\u00e9t mutatjuk be, akit gyenges\u00e9g,\n                    sz\u00e9d\u00fcl\u00e9s, magas l\u00e1z \u00e9s vizeletincontinentia miatt vett\u00fcnk fel oszt\u00e1lyunkra. A\n                    laborat\u00f3riumi vizsg\u00e1latok emelkedett gyullad\u00e1sos \u00e9s m\u00e1jenzim\u00e9rt\u00e9keket, alacsony\n                    feh\u00e9rv\u00e9rsejt- \u00e9s thrombocytasz\u00e1mot igazoltak. A k\u00e9palkot\u00f3 vizsg\u00e1latok k\u00f3rosat\n                    nem igazoltak. A szeptikus \u00e1llapot miatt a mikrobiol\u00f3giai mintav\u00e9telt k\u00f6vet\u0151en\n                    empirikus ceftriaxon- \u00e9s metronidazolkezel\u00e9s indult. Ter\u00e1pi\u00e1s er\u0151fesz\u00edt\u00e9seink\n                    ellen\u00e9re a beteg \u00e1llapot\u00e1ban \u00e9rdemi javul\u00e1s nem k\u00f6vetkezett be, tov\u00e1bbra is\n                    magas l\u00e1za volt, pszichomotoros nyugtalans\u00e1ga fokoz\u00f3dott, tremora \u00e9s\n                    koordin\u00e1ci\u00f3s zavara jelentkezett, ez\u00e9rt felmer\u00fclt a k\u00f6zponti idegrendszeri\n                    bakteri\u00e1lis fert\u0151z\u00e9s lehet\u0151s\u00e9ge. A liquor vizsg\u00e1lata meger\u0151s\u00edtette a purulens\n                    meningitis diagn\u00f3zis\u00e1t. Az\u00a0id\u0151k\u00f6zben meg\u00e9rkez\u0151 hemokult\u00fara-lelet <jats:italic>L.\n                        monocytogenes<\/jats:italic> fert\u0151z\u00e9st igazolt, a liquor teny\u00e9szt\u00e9se k\u00f3rokoz\u00f3t m\u00e1r\n                    nem jelzett. A tov\u00e1bbiakban c\u00e9lzott ampicillinter\u00e1pi\u00e1t folytattunk, melynek\n                    eredm\u00e9nyek\u00e9nt a beteg \u00e1llapota gyors javul\u00e1st mutatott, tart\u00f3san l\u00e1ztalann\u00e1\n                    v\u00e1lt, neurol\u00f3giai t\u00fcnetei megsz\u0171ntek. Az esetet a diagnosztika buktat\u00f3i, a\n                    felmer\u00fcl\u0151 differenci\u00e1ldiagnosztikai neh\u00e9zs\u00e9gek \u00e9s a c\u00e9lzott antibiotikumkezel\u00e9s\n                    eredm\u00e9nyess\u00e9g\u00e9b\u0151l ad\u00f3d\u00f3 kedvez\u0151 kimenetele miatt tartottuk bemutat\u00e1sra\n                    \u00e9rdemesnek. Orv Hetil. 2023; 164(36): 1437\u20131441.<\/jats:p>","DOI":"10.1556\/650.2023.32809","type":"journal-article","created":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T14:43:21Z","timestamp":1694357001000},"page":"1437-1441","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A k\u00f6z\u00f6ss\u00e9gben szerzett, Listeria monocytogenes okozta meningitisr\u0151l egy eset\u00fcnk kapcs\u00e1n"],"prefix":"10.1556","volume":"164","author":[{"given":"T\u00edcia","family":"Kocsis","sequence":"first","affiliation":[{"name":"Zala V\u00e1rmegyei Szent Rafael K\u00f3rh\u00e1z, I. Belgy\u00f3gy\u00e1szati \u00e9s Infektol\u00f3giai Oszt\u00e1ly Zalaegerszeg, Zr\u00ednyi M. u. 1., 8900 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1lint","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Zala V\u00e1rmegyei Szent Rafael K\u00f3rh\u00e1z, Neurol\u00f3giai Oszt\u00e1ly Zalaegerszeg Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e1l","family":"Ribiczey","sequence":"additional","affiliation":[{"name":"Zala V\u00e1rmegyei Szent Rafael K\u00f3rh\u00e1z, I. Belgy\u00f3gy\u00e1szati \u00e9s Infektol\u00f3giai Oszt\u00e1ly Zalaegerszeg, Zr\u00ednyi M. u. 1., 8900 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nika","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"Zala V\u00e1rmegyei Szent Rafael K\u00f3rh\u00e1z, I. 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