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[A case of recurrent Campylobacter fetus meningitis, occurring two months after the ‍initial infection was

Satoki Ito1, Takuya Tamura1, Yuji Ishihara1

  • 1Department of Neurology, Ichinomiya Municipal Hospital.

Rinsho Shinkeigaku = Clinical Neurology
|June 23, 2024
PubMed

Insights

Recurrent bacterial meningitis caused by Campylobacter fetus can occur months after initial treatment. This case suggests carbapenem therapy plus minocycline may prevent relapses.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Microbiology

Background:

  • Bacterial meningitis requires prompt diagnosis and treatment.
  • Campylobacter species are an uncommon cause of meningitis.

Observation:

  • A patient presented with recurrent meningitis due to Campylobacter fetus.
  • Initial treatment with meropenem was followed by relapse.

Findings:

  • Campylobacter fetus was isolated from cerebrospinal fluid during recurrence.
  • Treatment with meropenem and subsequent minocycline led to recovery.

Implications:

  • Campylobacter fetus meningitis may have a relapsing course.
  • Prolonged carbapenem therapy and adjunctive minocycline may be beneficial for recurrent cases.
Keywords:
Campylobacter fetus meningitisbacterial meningitisrelapse

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