title: [Bartonella quintana meningoencephalitis in an immunocompetent: rare case].
abstract: BACKGROUND
  Bartonella quintana (Bq) is responsible of various clinical pictures. Neuromeningeal complications are rarely reported.
  
  
  METHODS
  A 20-year-old woman was admitted for fever, headache lasting for 5 days. On admission, she was febrile at 39.3°C and had a stiff neck. Symptoms, contact with animals, biological tests and lumbar puncture (PL) rendered viral meningitis a likely diagnosis. She had received symptomatic treatment and the outcome was favorable. Three days later, the patient had headache, agitation and confusion with fever. The PL noted 130/mm(3) whites, 90% lymphocytes. The albuminorachie was 0.98 g/L, glucorachie was normal. The patient was treated with 400 mg of ofloxacine/day, seven days. Serologic tests for B. quintana were reactive. The outcome was favorable.
  
  
  CONCLUSIONS
  B. quintana infection should be considered in neurological symptoms of unknown etiology.
authors.affiliation: Service de maladies infectieuses, CHU Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisie. Electronic address: kooli.ikbel@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Kooli
authors.affiliation: Service de maladies infectieuses, CHU Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisie.
authors.forename: C
authors.initials: C
authors.lastname: Loussaief
authors.affiliation: Service de maladies infectieuses, CHU Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Ben Brahim
authors.affiliation: Service de maladies infectieuses, CHU Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Aouem
authors.affiliation: Service de maladies infectieuses, CHU Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Toumi
authors.affiliation: Service de maladies infectieuses, CHU Fattouma Bourguiba, avenue Farhat Hached, 5000 Monastir, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Chakroun
mesh_terms: D018413:Bartonella quintana / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008590:Meningoencephalitis / Q000175:diagnosis* / Q000276:immunology / Q000382:microbiology*; D014205:Trench Fever / Q000175:diagnosis* / Q000276:immunology / Q000382:microbiology; D055815:Young Adult
keywords: Bartonella quintana; Immunocompetent; Immunocompétent; Meningoencephalitis; Méningo-encéphalite