[Acute motor axonal neuropathy and aseptic meningitis due to Staphylococcus aureus endocarditis].
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.
Corne
P
P
Hôpital Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34295 Montpellier, France.
Massanet
P
P
Amigues
L
L
Camu
W
W
Béraud
J J
JJ
Jonquet
O
O
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
D000900:Anti-Bacterial Agents
Neuropathie axonale motrice aiguë et méningite aseptique révélant une endocardite à Staphylococcus aureus.