Summary
AlthoughEnterococcus faecalis is a relatively common cause of infective endocarditis, it rarely causes meningitis. A case ofEnterococcus faecalis endocarditis presenting as meningitis in a 74-year-old diabetic man on chronic hemodialysis is reported. A review of the literature showed that the association of enterococcal meningitis and endocarditis has rarely reported. This clinical association may be more common than previously recognized and it is suggested that echocardiography be considered for all patients with enterococcal hematogenous meningitis in order to rule out endocarditis.
References
Schleifer, K. H., Kilpper-Balz, R.: Transfer ofStreptococcus faecalis andStreptococcus faecium to the genusEnterococcus nom. rev. asEnterococcus faecalis comb. nov. andEnterococcus faecium comb. nov. J. Syst. Bact. 34 (1984) 31–34.
Stevenson, K. B., Murray, E. W., Sarubbi, F. A.: Enterococcal meningitis: report of four cases and review. Clin. Infect. Dis. 18 (1994) 223–239.
Durand, M. L., Calderwood, S. B., Weber, D. J.: Acute bacterial meningitis in adults, a review of 493 episodes. N. Engl. J. Med. 328 (1993) 21–28.
Bayer, A. S., Seidel, J. S., Yoshikawa, T. T., Anthony, B. F., Guze, L. B.: Group D enterococcal meningitis: clinical and therapeutic considerations with report of three cases and review of the literature. Arch. Intern. Med. 136 (1976) 883–886.
Buchino, J. J., Ciambarella, E., Light, I.: Systemic group D streptococcal infection in newborn infants. Am. J. Dis. Child 133 (1979) 270–273.
Lerner, P. I.: Meningitis caused byStreptococcus in adults. J. Infect. Dis. 131 (Suppl.) (1975) S9-S16.
Mashimoto, H., Maesaki, S., Araki, J., Asai, S., Sawatari, K., Kaku, M., Koga, H., Kohno, S., Hara, K.: A case of brain abscess associated with enterococcal endocarditis. J. Jpn. Assoc. Inf. Dis. 68 (1994) 254–258.
Raverby, W. D., Bottone, E. J., Keusch, G. T.: Group D streptococcal bacteremia, with emphasis on the incidence and presentation of infections due toStreptococcus bovis. N. Engl. J. Med. 289 (1973) 1400–1403.
Moellering, R. C., Watson, B. K., Kunz, L. J.: Endocarditis due to group D streptococci: comparison of disease caused byStreptococcus bovis with that produced by the enterococci. Am. J. Med. 57 (1974) 239–250.
Harrison, M. J. G., Hampton, J. R.: Neurological presentation of bacterial endocarditis. Br. Med. J. 2 (1967) 148–151.
Jensen, A. J., Espersen, F., Skinhoj, P., Rosdahl, V. T., Moller, N. F.:Staphylococcus aureus meningitis: a review of 104 nationwide, consecutive cases. Arch. Intern. Med. 153 (1993) 1902–1908.
Durack, D. T., Lukes, A. S., Bright, S. K.: New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Am. J. Med. 96 (1994) 200–209.
Ryan, J. I., Pachner, A., Andriole, V. T., Root, R. K.: Enterococcal meningitis: combined vancomycin and rifampin therapy. Am. J. Med. 68 (1980) 449–451.
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Lin, D.P., Wada, S. & Jimenez-Lucho, V. Enterococcus faecalis endocarditis presenting as meningitis. Infection 26, 304–305 (1998). https://doi.org/10.1007/BF02962253
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DOI: https://doi.org/10.1007/BF02962253