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[Meningitis due to Enterococcus faecalis]

J H Gentile1, M D Sparo, V B Pipo

  • 1Clínica del Sol, Hospital Ramón Santamarina, Tandil, Buenos Aires, Argentina.

Medicina
|January 1, 1995
PubMed
Summary

Enterococcus faecalis meningitis is rare, typically affecting immunocompromised individuals. This case highlights successful treatment in an elderly patient without predisposing factors, achieving full recovery.

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Area of Science:

  • Infectious Diseases
  • Neurology
  • Microbiology

Background:

  • Enterococcus faecalis meningitis is a rare form of suppurative meningitis, accounting for less than 1% of adult cases.
  • This infection typically occurs in patients with compromised immune systems or central nervous system (CNS) lesions, often as a hospital-acquired infection.

Observation:

  • An 85-year-old female presented with unconsciousness, meningeal signs, and purulent cerebrospinal fluid (CSF).
  • Enterococcus faecalis was isolated from the CSF, indicating bacterial meningitis.

Findings:

  • The patient received a treatment regimen including intravenous (IV) Ampicillin and Gentamycin, intrathecal Gentamycin, and IV dexamethasone.
  • Clinical and bacteriological remission was achieved following the treatment.

Implications:

  • This case demonstrates the successful management of E. faecalis meningitis in an elderly patient without apparent predisposing conditions.
  • The successful outcome suggests that prompt and appropriate antibiotic therapy, potentially combined with intrathecal administration and corticosteroids, can lead to favorable results even in complex cases.

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