title: [Acute motor axonal neuropathy and aseptic meningitis due to Staphylococcus aureus endocarditis].
abstract: BACKGROUND
  Central nervous system complications are commonly described in Staphylococcus aureus endocarditis but peripheral nervous system involvement is rare.
  
  
  METHODS
  We report the case of a 65-year-old woman who had tetraparesia and aseptic meningitis revealing S. aureus endocarditis. The presence of purpura on the lower limbs led to an initial diagnosis of meningococcal meningitis. Tetraparesia was due to an acute motor axonal neuropathy. Anti-GM1 antibodies were negative. Meningitis and tetraparesia improved with antibiotic therapy.
  
  
  CONCLUSIONS
  Acute motor axonal neuropathy may be a presenting symptom of S. aureus endocarditis.
authors.affiliation: Hôpital Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34295 Montpellier, France.
authors.forename: P
authors.initials: P
authors.lastname: Corne
authors.forename: P
authors.initials: P
authors.lastname: Massanet
authors.forename: L
authors.initials: L
authors.lastname: Amigues
authors.forename: W
authors.initials: W
authors.lastname: Camu
authors.forename: J J
authors.initials: JJ
authors.lastname: Béraud
authors.forename: O
authors.initials: O
authors.lastname: Jonquet
mesh_terms: D000208:Acute Disease; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001369:Axons; D003951:Diagnostic Errors; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D005334:Fever / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D008582:Meningitis, Aseptic / Q000175:diagnosis* / Q000382:microbiology*; D008585:Meningitis, Meningococcal / Q000175:diagnosis; D011115:Polyneuropathies / Q000175:diagnosis / Q000382:microbiology*; D011693:Purpura / Q000175:diagnosis / Q000382:microbiology*; D011782:Quadriplegia / Q000175:diagnosis / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013211:Staphylococcus aureus
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Neuropathie axonale motrice aiguë et méningite aseptique révélant une endocardite à Staphylococcus aureus.