[Bacterial meningitis as a complication of Fusobacterium necroforum infection in adults]

C Spitzer1, H Foltys, S W Lemmen

  • 1Klinik für Neurologie, Universitätsklinikum Aachen. christoph.spitzer@post.rwth-aachen.de

Der Nervenarzt
|December 4, 2003
PubMed

Insights

Fusobacterium necrophorum, a bacterium normally found in the throat, can cause meningitis in adults. Prompt identification and treatment with antibiotics like meropenem and metronidazole are crucial for recovery.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Neurology

Background:

  • Fusobacterium necrophorum is an anaerobic, gram-negative bacterium part of the oropharyngeal flora.
  • It is known to cause Lemierre's syndrome, a severe condition involving neck thrombophlebitis and metastatic abscesses.
  • While rare, F. necrophorum can cause meningitis, predominantly in children.

Observation:

  • A case of a 25-year-old woman with F. necrophorum meningitis is presented.
  • The patient initially exhibited an incomplete right third nerve palsy.
  • Symptoms progressed to include fever, meningism, and decreased vigilance.

Findings:

  • Cerebrospinal fluid analysis confirmed bacterial meningitis.
  • Identification of F. necrophorum led to a change in antibiotic treatment to meropenem.
  • Addition of metronidazole was necessary due to persistent cerebrospinal fluid inflammation.

Implications:

  • This case highlights F. necrophorum as a potential cause of bacterial meningitis in adults.
  • Early recognition and appropriate antibiotic therapy are vital for managing F. necrophorum meningitis.
  • The findings emphasize the importance of including F. necrophorum in the differential diagnosis for adult meningitis.

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