[Enterococcal meningitis revealing endocarditis].
BACKGROUND
Enterococci are frequently responsible for endocarditis, but a rare cause of meningitis.


METHODS
A 55 years-old man presented with Enterococcus faecium meningitis. Systematic transoesophageal echocardiography (TOE), despite the absence of organic murmur and the negativity of the hemocultures, revealed a concomitant aortic endocarditis.


CONCLUSIONS
Review of the literature suggests that the association of endocarditis with enterococcal meningitis is far from accidental. We suggest that a TOS be conducted systematically when faced with this disease. The therapeutic implications are important, notably regarding the duration of antibiotherapy.
Tonnellier
M
M
Service de réanimation médicale, Hôpital Saint-Antoine, 184, rue du faubourg Saint-Antoine, 75012 Paris. marc.tonnellier@noos.fr
Nieszkowska
A
A
Merrer
J
J
Proost
O
O
Outin
H
H
D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D016984:Enterococcus faecium; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis*; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis*; D008875:Middle Aged