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Co-trimoxazole induced aseptic meningitis

D Pashankar1, M McArdle, A Robinson

  • 1Duchess of York Children's Hospital, Manchester.

Insights

Co-trimoxazole can cause drug-induced aseptic meningitis, a rare condition. This syndrome should be considered in patients presenting with meningitis symptoms after co-trimoxazole use.

Area of Science:

  • Neurology
  • Pharmacology
  • Infectious Diseases

Background:

  • Aseptic meningitis is an inflammation of the meninges not caused by bacterial infection.
  • Drug-induced aseptic meningitis is a rare but serious adverse reaction to certain medications.

Observation:

  • A 15-year-old male experienced two distinct episodes of aseptic meningitis-like symptoms.
  • These reactions occurred shortly after the ingestion of co-trimoxazole.

Findings:

  • The patient was diagnosed with co-trimoxazole-induced aseptic meningitis.
  • This diagnosis was based on the temporal relationship between drug exposure and symptom recurrence.

Implications:

  • Co-trimoxazole-induced aseptic meningitis should be included in the differential diagnosis for patients presenting with aseptic meningitis.
  • Early recognition and discontinuation of the causative agent are crucial for patient management.

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