Actinomycotic meningitis: report of a case.
A 73-year-old man who presented with acute fever, drowsiness and confusion was reported. Two weeks prior to admission, he attended the Outpatient Department with symptoms of fever and headache for 2 weeks. Eosiophilic meningitis was initially diagnosed, which, in fact, was lymphocytic CSF pleocytosis. He was treated with a high dose of prednisolone. His symptoms improved for 1 week, then he experienced symptoms of fever and headache again. On admission, he had stiffness of the neck. Lumbar puncture showed purulent CSF with gram-positive branching filamentous organisms. CSF grew Actinomyces israelii. The patient died from brain herniation.
D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis*; D000368:Aged; D003951:Diagnostic Errors; D004802:Eosinophilia / Q000175:diagnosis; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000382:microbiology*