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Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination
BACKGROUND: Anaerobic bacterial meningitis is rare. It is extremely unusual without a portal of entry as most cases reported have been associated with trauma or neurosurgery. CASE REPORT: We describe this rare case of clostridium meningitis and plesiomonas sepsis in an immunocompetent adult. A 71 ye...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619042/ https://www.ncbi.nlm.nih.gov/pubmed/23569567 http://dx.doi.org/10.12659/AJCR.883830 |
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author | Okon, Emmanuel Bishburg, Eliahu Ugras, Sandra Chan, Trini Wang, He |
author_facet | Okon, Emmanuel Bishburg, Eliahu Ugras, Sandra Chan, Trini Wang, He |
author_sort | Okon, Emmanuel |
collection | PubMed |
description | BACKGROUND: Anaerobic bacterial meningitis is rare. It is extremely unusual without a portal of entry as most cases reported have been associated with trauma or neurosurgery. CASE REPORT: We describe this rare case of clostridium meningitis and plesiomonas sepsis in an immunocompetent adult. A 71 year old man with diabetes presented with acute onset severe headaches, obtundation and signs of severe hemolysis following a 2 week game hunting trip in the Swiss Alps. His clinical status progressed rapidly; he died 3 hours after initial presentation. Post mortem lumbar puncture was performed with CSF analysis suggestive of bacterial meningitis. Clostridium perfringens was eventually recovered from the CSF as well as in the blood. Plesiomonas shigelloides was recovered from the blood as well. CONCLUSIONS: This is the first case of blood stream infection with these two organisms in a single patient without an obvious portal of entry. |
format | Online Article Text |
id | pubmed-3619042 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-36190422013-04-08 Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination Okon, Emmanuel Bishburg, Eliahu Ugras, Sandra Chan, Trini Wang, He Am J Case Rep Case Report BACKGROUND: Anaerobic bacterial meningitis is rare. It is extremely unusual without a portal of entry as most cases reported have been associated with trauma or neurosurgery. CASE REPORT: We describe this rare case of clostridium meningitis and plesiomonas sepsis in an immunocompetent adult. A 71 year old man with diabetes presented with acute onset severe headaches, obtundation and signs of severe hemolysis following a 2 week game hunting trip in the Swiss Alps. His clinical status progressed rapidly; he died 3 hours after initial presentation. Post mortem lumbar puncture was performed with CSF analysis suggestive of bacterial meningitis. Clostridium perfringens was eventually recovered from the CSF as well as in the blood. Plesiomonas shigelloides was recovered from the blood as well. CONCLUSIONS: This is the first case of blood stream infection with these two organisms in a single patient without an obvious portal of entry. International Scientific Literature, Inc. 2013-03-12 /pmc/articles/PMC3619042/ /pubmed/23569567 http://dx.doi.org/10.12659/AJCR.883830 Text en © Am J Case Rep, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Case Report Okon, Emmanuel Bishburg, Eliahu Ugras, Sandra Chan, Trini Wang, He Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination |
title | Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination |
title_full | Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination |
title_fullStr | Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination |
title_full_unstemmed | Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination |
title_short | Clostridium perfringens meningitis, Plesiomonas shigelloides sepsis: A lethal combination |
title_sort | clostridium perfringens meningitis, plesiomonas shigelloides sepsis: a lethal combination |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619042/ https://www.ncbi.nlm.nih.gov/pubmed/23569567 http://dx.doi.org/10.12659/AJCR.883830 |
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