Leptospirosis meningitis transmission from a pet mouse: a case report

Anne Christine Nordholm1, Lars Haukali Omland2, Steen Villumsen2

  • 1Department of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark. anne.christine.nordholm@regionh.dk.

Abstract

Insights

Leptospirosis meningitis can be caused by pet mice. This case highlights the importance of considering zoonotic diseases in patients with meningeal symptoms, even with common household pets.

Area of Science:

  • Zoonotic diseases
  • Infectious diseases
  • Neurology

Background:

  • Leptospirosis is a reemerging zoonotic disease with global distribution.
  • It presents with diverse clinical manifestations.
  • Pet rodents can be potential sources of infection.

Observation:

  • A previously healthy woman with pet mice developed fever, headache, and jaundice.
  • Clinical examination revealed neck stiffness, conjunctivitis, and icterus.
  • Cerebrospinal fluid analysis showed elevated white blood cells.

Findings:

  • Polymerase chain reaction tests for leptospirosis were negative.
  • Microagglutination test confirmed Leptospira interrogans serovar sejroe infection.
  • Patient successfully treated with ceftriaxone.

Implications:

  • Pet rodents pose a risk for leptospirosis transmission.
  • Leptospirosis meningitis should be considered in patients with meningeal symptoms and rodent exposure.
  • This case emphasizes zoonotic disease awareness in clinical practice.