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Bihemispheric Cortical Infarcts in an Adult Secondary to Escherichia coli K1 Meningitis

Bhanu Gogia1, Angela L Young2, Barbara J O'Brien3

  • 1Department of Neurology, University of Texas Medical Branch, Galveston, Texas, USA.

Case Reports in Neurology
|November 1, 2021
PubMed

Insights

This case report details a rare instance of bilateral cortical infarcts in an adult caused by Escherichia coli meningitis. Early diagnosis and treatment are crucial to prevent severe neurological complications like stroke.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Cerebral ischemia is a recognized complication of meningitis.
  • Escherichia coli meningitis is more commonly associated with infarcts in pediatric populations.

Observation:

  • A 25-year-old female presented with meningitis caused by a K1 strain of Escherichia coli.
  • The patient developed bilateral cortical infarcts, a rare presentation in adults.

Findings:

  • This case highlights the first reported instance of bilateral cortical infarcts in an adult secondary to K1 strain Escherichia coli meningitis.
  • Treatment challenges included determining optimal antibiotic duration and steroid use.

Implications:

  • Emphasizes the necessity of prompt diagnosis and treatment of Escherichia coli meningitis in all age groups.
  • Underscores the risk of severe neurological complications, such as stroke, if treatment is delayed.
  • Informs clinical decision-making regarding management strategies for adult meningitis patients.
Keywords:
Escherichia coliInfarctionMeningitisVasculopathy

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