Document Detail

Meningitis due to Aeromonas species: case report and review.
MedLine Citation:
PMID:  8110931     Owner:  NLM     Status:  MEDLINE    
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.
F Parras; M D Díaz; J Reina; S Moreno; C Guerrero; E Bouza
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  17     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-03-25     Completed Date:  1994-03-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1058-60     Citation Subset:  IM    
Department of Clinical Microbiology and Infectious Diseases, Hospital General Gregorio Marañón, Madrid, Spain.
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MeSH Terms
Aeromonas / isolation & purification,  pathogenicity*
Cephalosporins / therapeutic use
Gram-Negative Bacterial Infections / diagnosis,  drug therapy,  etiology*
Meningitis, Bacterial / diagnosis,  drug therapy,  etiology*
Middle Aged
Reg. No./Substance:

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