title: [Complicated purulent meningitis as first manifestation of a hidden HIV disease]
abstract: A case report of severe Streptococcus pneumoniae meningitis, prompting the diagnosis of a concurrent occult HIV infection, is presented. Despite a favorable in vitro susceptibility profile of the isolated microbial strain and timely antibiotic treatment, our patient suffered from permanent neurogical sequelae (severe bilateral central hypacusia). The role of penumococcal complications in the context of HIV disease and AIDS is rewieved in light of recent finding reported in the literature.
authors.affiliation: Dipartimento di Medicina Clinica Specialistica e Sperimentale, Sezione di Malattie Infettive, Universita di Bologna, Bologna, Italy.
authors.forename: R.
authors.initials: R
authors.lastname: Manfredi
authors.forename: F.
authors.initials: F
authors.lastname: Chiodo