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Yersinia enterocolitica meningitis and osteomyelitis: a case report
M F Casey1, P H Gilligan, M L Smiley
1Department of Medicine, University, North Carolina School of Medicine, Chapel Hill 27514.
Diagnostic Microbiology and Infectious Disease
|September 1, 1987
Summary
A rare case of Yersinia enterocolitica caused both meningitis and osteomyelitis in a 45-year-old male. The patient achieved full recovery with intravenous chloramphenicol and oral trimethoprim-sulfamethoxazole therapy.
Area of Science:
- Infectious Diseases
- Bacteriology
- Neurology
Background:
- Yersinia enterocolitica is an emerging pathogen causing various infections.
- Meningitis and osteomyelitis are serious conditions that can occur separately.
- Concurrent meningitis and osteomyelitis are exceptionally rare.
Observation:
- A 45-year-old Black male presented with symptoms of both meningitis and osteomyelitis.
- Diagnosis confirmed Yersinia enterocolitica as the causative agent.
- The patient had no significant past medical history.
Findings:
- Successful treatment of concurrent Yersinia enterocolitica meningitis and osteomyelitis was achieved.
- Intravenous chloramphenicol followed by oral trimethoprim-sulfamethoxazole was the therapeutic regimen.
- The patient experienced a complete recovery without long-term sequelae.
Implications:
- This case highlights the potential for Yersinia enterocolitica to cause severe, disseminated infections.
- It demonstrates the efficacy of chloramphenicol and trimethoprim-sulfamethoxazole in treating such infections.
- Suggests a need for increased awareness of Yersinia enterocolitica in complex infectious disease presentations.