Author:
Weyrich Pierre,Ettahar Nicolas,Legout Laurence,Meybeck Agnes,Leroy Olivier,Senneville Eric
Abstract
Abstract
We report the first case of extended-spectrum beta-lactamase producing E. coli community-acquired meningitis complicated with multiple aortic mycotic aneurysms. Because of the acute aneurysm expansion with possible impending rupture on 2 abdominal CT scan, the patient underwent prompt vascular surgery and broad spectrum antibiotic therapy but he died of a hemorrhagic shock. Extended-spectrum beta-lactamase producing E. coli was identified from both blood and cerebrospinal fluid culture before vascular treatment. The present case report does not however change the guidelines of Gram negative bacteria meningitis in adults.
Publisher
Springer Science and Business Media LLC
Subject
Infectious Diseases,Microbiology (medical),General Medicine
Reference23 articles.
1. Practice guidelines for acute bacterial meningitidis (except newborn and nosocomial meningitis). Med Mal Infect. 2009, 39 (6): 356-67.
2. Tunkel AR, Hartman BJ, Kaplan SL: Practice guidelines for the management of bacterial meningitis. Clin Infect Dis. 2004, 39 (9): 1267-84. 10.1086/425368
3. Bouadma L, Schortgen F, Thomas R: Adults with spontaneous aerobic Gram-negative bacillary meningitis admitted to the intensive care unit. Clin Microbiol Infect. 2006, 12 (3): 287-90. 10.1111/j.1469-0691.2005.01346.x
4. Dorta-Contreras AJ: [Bacterial meningitis due to gram-negative bacilli in immunosuppressed adults who have not undergone neurosurgery]. Rev Neurol. 2011, 52 (4): 255-author reply -6,
5. Laguna-del Estal P, Garcia-Montero P, Agud-Fernandez M, Lopez-Cano Gomez M, Castaneda-Pastor A, Garcia-Zubiri C: [Bacterial meningitis due to gram-negative bacilli in adults]. Rev Neurol. 2010, 50 (8): 458-62.
Cited by
8 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献