title: [Enterococcal meningitis revealing endocarditis].
abstract: 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.
authors.affiliation: Service de réanimation médicale, Hôpital Saint-Antoine, 184, rue du faubourg Saint-Antoine, 75012 Paris. marc.tonnellier@noos.fr
authors.forename: M
authors.initials: M
authors.lastname: Tonnellier
authors.forename: A
authors.initials: A
authors.lastname: Nieszkowska
authors.forename: J
authors.initials: J
authors.lastname: Merrer
authors.forename: O
authors.initials: O
authors.lastname: Proost
authors.forename: H
authors.initials: H
authors.lastname: Outin
mesh_terms: 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