Gutiérrez MFA, Cacho DB, García RG

Language: Spanish
References: 7
Page: 107-110
PDF size: 75.05 Kb.

ABSTRACT

A case of a woman with a history of resected sellar prolactinoma for over 15 years and major dental and gum disease, with no other medical history, which is hospitalized due to acute meningitis caused by Enterococcus faecium sensitive to vancomycin, with an excellent response to medical management.
E. faecium, is a gram positive cocci, commensal, often found in nature and in the gastrointestinal tract.
It is an unusual pathogen of meningitis in immunocompetent individuals and no prior history of hospitalizations, although this case we think it nevertheless must be considered as a differential diagnosis of purulent meningitis in such patients to provide an appropriate empirical treatment.

REFERENCES

1. Sharma A, Mong MS, Minamoto G. Enterococcus faecalis: an unusual cause of meningitis in HIV-infected patient. AIDS Read 2000; 12(12): 540-2.

2. Hugeke MM, Sahm DF, et al. Multiple drugs resistant enterococci: the nature of the problem and an agenda for the future. Emerging Infectious Disease 1998; 2: 239-49.

3. Zeana C, Kubin ChJ, Della-Latta P, Hammer. Vancomicin SM. Resistant E. faecium meningitis successfully managed with linezolid: case report and review of the literature. Clin Infect Dis 2001; 33: 477-82.

4. Durand ML, Calderwood SB, Weber DJ, et al. Acute bacterial meningitis in adults: a review of 493 episodes. N Engl J Med 1993; 328: 21.

5. Islam Z. Trends in antibiotic sensitivity’. Vol. 15. No. 4. Louisiana: Morbidity; 2004, p. 4.

6. Barbara E. Murray. Vancomycin-Resistant Enterococcal Infections. NEJM 2000; 34: 710-21.

7. Laguna del Estal P, García ZC, García MR, Navarro GM. Meningitis enterocócica en adultos. Neurología 2009; 24(4): 245-8.