Community-acquired Escherichia coli meningitis in adult.
We report a case of E. coli meningitis presented initially without nuchal rigidity. Despite intensive care treatment, CSF was not sterilized and the patient died at 17 days after his admission. Patients with an unexplained altered sensorium with fever should undergo LP to evaluate for this rare entity and to direct early antimicrobial treatment which possesses efficacy for meningeal infection.
University of Hawaii, Internal Medicine Department, USA. shigekif@upmc.edu
Shigeki
S
Fujitani
Toru
T
Kamiya
Larry
L
Kaufman
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003128:Coma / Q000382:microbiology; D017714:Community-Acquired Infections; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D020814:Meningitis, Escherichia coli / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents