Nontraumatic pneumocephalus due to nosocomial Enterobacter cloacae infection.
Nosocomial meningitis is rare, and routine cerebrospinal fluid study is seldom recommended for hospitalized patients with fever and acute delirium. We present a case of Enterobacter cloacae meningitis complicated with a nontraumatic pneumocephalus. Maintaining a high index of suspicion of nosocomial meningitis is crucial in patients with acute delirium and multiple underlying comorbid conditions.
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Chin-Chi
CC
Kuo
Jann-Yuan
JY
Wang
Jung-Yien
JY
Chien
Ya-Fang
YF
Chen
Vin-Cent
VC
Wu
Ching-Wei
CW
Tsai
Juey-Jen
JJ
Hwang
D000208:Acute Disease; D000368:Aged; D003428:Cross Infection / Q000382:microbiology*; D003693:Delirium / Q000382:microbiology; D016972:Enterobacter cloacae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008581:Meningitis / Q000382:microbiology*; D011007:Pneumocephalus / Q000000981:diagnostic imaging / Q000382:microbiology*; D011859:Radiography