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Meningitis With Staphylococcus aureus Bacteremia in an Older Patient With Nonspecific Symptoms: A Case Report

Airi Minatogawa1, Junya Ohara2, Yuta Horinishi3

  • 1Family Medicine, International University of Health and Welfare, Tokyo, JPN.

Cureus
|February 27, 2023
PubMed

Insights

Staphylococcus aureus bacteremia can lead to meningitis, particularly in older adults with altered consciousness. Prompt diagnosis via blood cultures and cerebrospinal fluid analysis is crucial for effective treatment.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Internal Medicine

Background:

  • Staphylococcus aureus bacteremia is a serious condition with potential for widespread organ involvement.
  • Meningeal involvement, or meningitis, presents diagnostic challenges due to nonspecific symptoms.
  • Early recognition is vital for patients with S. aureus bacteremia and neurological changes.

Observation:

  • A 73-year-old male presented with malaise and rapidly progressing impaired consciousness.
  • The patient was diagnosed with Staphylococcus aureus bacteremia and meningitis.
  • Initial symptoms were nonspecific, highlighting the need for vigilant assessment.

Findings:

  • Staphylococcus aureus bacteremia was confirmed as the cause of the patient's condition.
  • Concurrent meningitis was diagnosed, indicating spread to the central nervous system.
  • Impaired consciousness served as a critical indicator for further investigation.

Implications:

  • Meningitis and bacteremia should be strongly considered in patients with acute, progressive, unexplained symptoms.
  • Prompt blood cultures are essential for early diagnosis and initiation of appropriate treatment.
  • Timely intervention can improve outcomes for patients with S. aureus bacteremia and meningitis.
Keywords:
erector pili muscle abscessgeneral malaisegeneral medicinemeningitisrural hospitalstaphylococcus aureus bacteremia

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