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Streptococcus pneumoniae meningitis without pleocytosis of the cerebrospinal fluid

Ryota Sato1, Michitaka Nasu1, Ryohei Yagi1

  • 1Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 4-16-1, Iso, Urasoe, Okinawa, Japan.

The American Journal of Emergency Medicine
|November 1, 2015
PubMed

Insights

Pneumococcal meningitis can occur without cerebrospinal fluid pleocytosis, a rare finding in adults. This case highlights the importance of prompt antibiotic treatment for suspected meningitis, even with normal CSF results.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Microbiology

Background:

  • Cerebrospinal fluid (CSF) pleocytosis is a hallmark of bacterial meningitis diagnosis.
  • Adult patients rarely present with bacterial meningitis and normal CSF findings.

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