Acute neutrophilic meningitis treated successfully with corticosteroids.
This report describes a cocaine user who presented with polymorphonuclear pleocytosis in cerebrospinal fluid mimicking bacterial meningitis. Thorough investigation of the cerebrospinal fluid did not reveal evidence of bacteria or fungi. Clinical deterioration was observed in spite of empiric treatment with antibiotics. The patient had a favorable outcome after corticosteroid treatment.
D000208:Acute Disease; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D003042:Cocaine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000188:drug therapy* / Q000209:etiology*; D009504:Neutrophils / Q000187:drug effects*; D011239:Prednisolone / Q000627:therapeutic use*; D020293:Vasculitis, Central Nervous System / Q000139:chemically induced* / Q000150:complications*; D014662:Vasoconstrictor Agents / Q000009:adverse effects*
D000893:Anti-Inflammatory Agents; D014662:Vasoconstrictor Agents; D011239:Prednisolone; D003042:Cocaine