Bacterial meningitis associated with a complex ischiorectal abscess.
We describe a case of bacterial meningitis in a 37 year old man resulting from the direct extension of an spontaneously occurring ischiorectal abscess into the intradural space. The patient presented with back pain and urinary retention and this was followed by the development of headache, photophobia and a left VIth nerve palsy. The patient was not diabetic or immunocompromised. He was treated with broad spectrum antibiotics and with drainage of the ischiorectal abscess; no organism was grown from blood, abscess contents or cerebrospinal fluid. He went on to make a full recovery.
Simpson
Marion A
MA
Department of Neurology, The Austin Hospital, 145 Studley Road, Heidelberg 3084, Victoria, Australia. marion.simpson@doctors.org.uk
Keston
Peter
P
Bridges
Alan
A
Macleod
Malcolm
M
D020434:Abducens Nerve Diseases / Q000209:etiology; D000038:Abscess / Q000150:complications*; D000328:Adult; D001416:Back Pain / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications*; D016055:Urinary Retention / Q000209:etiology