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- Title
Meningitis Due to Aeromonas Species: Case Report and Review.
- Authors
Parras, F.; Díaz, M. D.; Reina, J.; Moreno, S.; Guerrero, C.; Bouza, E.
- Abstract
In recent years, Aeromonas species has been reported to cause extraintestinal infections with a growing frequency. Meningitis due to Aeromonas species is, however, a rare entity. We report a case of aeromonas meningitis in a 54-year-old man with a history of chronic alcoholic liver disease who, after an episode of gastroenteritis, developed an acute clinical picture characteristic of meningitis with septic shock and ecthyma gangrenosum. Aeromonas veronii (biogroup sobria) was isolated from cultures of blood as well as from cultures of stool, peritoneal fluid, skin lesion, and CSF specimens (obtained by lumbar puncture). Our review of seven additional cases of aeromonas meningitis in the world literature revealed that this condition is generally secondary to metastatic dissemination from primary bacteremia. Aeromonas meningitis, which may or may not be preceded by gastroenteritis, presents clinically as bacterial meningitis, although the presence of skin lesions may increase suspicion of the diagnosis. Third-generation cephalosporins are probably the therapy of choice for patients with aeromonas meningitis.
- Publication
Clinical Infectious Diseases, 1993, Vol 17, Issue 6, p1058
- ISSN
1058-4838
- Publication type
Article
- DOI
10.1093/clinids/17.6.1058