title: Streptococcus pneumoniae meningitis without pleocytosis of the cerebrospinal fluid.
abstract: Pleocytosis of the cerebrospinal fluid is a key finding for the diagnosis of bacterial meningitis. Bacterial meningitis presenting in normal cerebrospinal fluid is rare in adult patients. We describe the case of a patient with pneumococcal meningitis without cerebrospinal fluid pleocytosis. This case suggests that immediate antibiotic therapy should be started when meningitis is suspected, even with normal cerebrospinal fluid findings. (See Figure.)
authors.affiliation: Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 4-16-1, Iso, Urasoe, Okinawa, Japan. Electronic address: st051035@gmail.com.
authors.forename: Ryota
authors.initials: R
authors.lastname: Sato
authors.affiliation: Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 4-16-1, Iso, Urasoe, Okinawa, Japan.
authors.forename: Michitaka
authors.initials: M
authors.lastname: Nasu
authors.affiliation: Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 4-16-1, Iso, Urasoe, Okinawa, Japan.
authors.forename: Ryohei
authors.initials: R
authors.lastname: Yagi
authors.affiliation: Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 4-16-1, Iso, Urasoe, Okinawa, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Kitahara
mesh_terms: D000368:Aged; D006801:Humans; D007964:Leukocytosis / Q000134:cerebrospinal fluid* / Q000209:etiology; D008297:Male; D008586:Meningitis, Pneumococcal / Q000134:cerebrospinal fluid / Q000150:complications / Q000175:diagnosis*