title: Rickettsial infection presenting as culture-negative meningitis.
abstract: Meningitis is an unusual presentation of rickettsial infection. We report a patient who was confirmed by serology to have typhus fever (not scrub), but who presented with the typical findings of culture-negative bacterial meningitis. Neurological manifestations of different types of rickettsial infection are discussed.
authors.affiliation: Department of Microbiology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T.
authors.forename: M L
authors.initials: ML
authors.lastname: Woo
authors.forename: J W
authors.initials: JW
authors.lastname: Leung
authors.forename: G L
authors.initials: GL
authors.lastname: French
mesh_terms: D002701:Chloramphenicol / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008581:Meningitis / Q000175:diagnosis* / Q000382:microbiology; D008875:Middle Aged; D013752:Tetracycline / Q000627:therapeutic use; D014438:Typhus, Epidemic Louse-Borne / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D002701:Chloramphenicol; D013752:Tetracycline