title: Recurrent Gemella haemolysans meningitis in a patient with osteomyelitis of the clivus.
abstract: Systemic infection caused by G. haemolysans has rarely been reported. We herein describe the case of a 69-year-old woman with recurrent G. haemolysans meningitis that led to abducens nerve palsy. Osteomyelitis of the clivus was likely present at the first admission, which led to reinfection of the meninges because the course of antibiotic treatment was too short. The patient has remained free of relapse for one year after undergoing a second round of treatment that lasted 63 days. In cases of G. haemolysans meningitis, coexisting infectious diseases, such as endocarditis and/or osteomyelitis, should therefore be investigated to prevent recurrence.
authors.affiliation: Department of Medicine and Clinical Science, Gunma University Graduate School of Medicine, Japan.
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Hayashi
authors.forename: Hideki
authors.initials: H
authors.lastname: Uchiumi
authors.forename: Kunio
authors.initials: K
authors.lastname: Yanagisawa
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Ogawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Handa
authors.forename: Norifumi
authors.initials: N
authors.lastname: Tsukamoto
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Nojima
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003388:Cranial Fossa, Posterior; D004334:Drug Administration Schedule; D005260:Female; D058834:Gemella; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012008:Recurrence
chemical_list: D000900:Anti-Bacterial Agents