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Enterococcus faecalis endocarditis presenting as meningitis

D P Lin1, S Wada, V E Jimenez-Lucho

  • 1Medical Service, Northport Veterans Administration Medical Center, NY 11768-2290, USA.

Infection
|October 31, 1998
PubMed
Summary
This summary is machine-generated.

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Enterococcus faecalis rarely causes meningitis, but can present as such with endocarditis. Echocardiography is recommended for patients with enterococcal meningitis to detect potential endocarditis.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Neurology

Background:

  • Enterococcus faecalis is a known cause of infective endocarditis.
  • Enterococcal meningitis is an uncommon clinical presentation.

Observation:

  • A case of a 74-year-old diabetic male on chronic hemodialysis with Enterococcus faecalis endocarditis presenting as meningitis is detailed.
  • Literature review indicates a rare reported association between enterococcal meningitis and endocarditis.

Findings:

  • The clinical association between enterococcal meningitis and endocarditis may be underrecognized.
  • This case highlights a rare but possible presentation of a common condition.

Implications:

  • Echocardiography should be considered in patients diagnosed with enterococcal hematogenous meningitis.

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  • Early detection of endocarditis in these patients can guide appropriate treatment and improve outcomes.