Longitudinally Extensive Transverse Myelitis (LETM): A Rare Neurological Complication of Listeria Infection

Abstract

We present a case of longitudinally extensive transverse myelitis (LETM) associated with Listeria monocytogenes who was recently diagnosed with autoimmune hepatitis and was on treatment for the same. A 20-year-old female diagnosed with chronic liver disease with portal hypertension secondary to autoimmune hepatitis presented with progressive numbness and tingling sensations in bilateral lower limbs followed by weakness and difficulty in walking. Infectious work up revealed Listeria monocytogenes. She received plasmapheresis and complete 8 week course of ampicillin and gentamycin.