Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis
Spontaneous or nosocomial Escherichia coli meningitis remains rare in healthy adults but is still carrying a high mortality rate despite adapted antimicrobial treatment for susceptible strains. A 39-year-old woman was admitted to the hospital with severe subarachnoid haemorrhage complicated by acute...
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Series: | Case Reports in Infectious Diseases |
Online Access: | http://dx.doi.org/10.1155/2017/8976754 |
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doaj-9046b268a49c4d0bb9ecc0f0575c5aff2020-11-24T21:00:03ZengHindawi LimitedCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/89767548976754Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute PyelonephritisH. Cromlin0H. Rodriguez-Villalobos1A. Deplano2T. Duprez3P. Hantson4Department of Intensive Care, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, BelgiumLaboratory of Microbiology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, BelgiumLaboratory of Microbiology, Cliniques Universitaires de Bruxelles, Brussels, BelgiumDepartment of Neuroradiology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, BelgiumDepartment of Intensive Care, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, BelgiumSpontaneous or nosocomial Escherichia coli meningitis remains rare in healthy adults but is still carrying a high mortality rate despite adapted antimicrobial treatment for susceptible strains. A 39-year-old woman was admitted to the hospital with severe subarachnoid haemorrhage complicated by acute hydrocephalus. On hospital day 10, she developed Streptococcus anginosus septicaemia and urinary tract infection due to a multisensitive strain of E. coli. This infection was successfully controlled by antimicrobial therapy. As a late complication in the neurosurgical ward (day 39), she developed fever, alteration of consciousness, and shock, leading to the diagnosis of bacterial meningitis. The culture of blood, cerebrospinal fluid, and urine grew positive for a multisensitive E. coli. The strain was identified as O117:K52:H, a serotype that was until now never associated with acute meningitis or brain abscesses. The source appeared to be the urinary tract with the demonstration of acute pyelonephritis. The patient died on day 94 from delayed complications of multiple brain abscesses.http://dx.doi.org/10.1155/2017/8976754 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
H. Cromlin H. Rodriguez-Villalobos A. Deplano T. Duprez P. Hantson |
spellingShingle |
H. Cromlin H. Rodriguez-Villalobos A. Deplano T. Duprez P. Hantson Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis Case Reports in Infectious Diseases |
author_facet |
H. Cromlin H. Rodriguez-Villalobos A. Deplano T. Duprez P. Hantson |
author_sort |
H. Cromlin |
title |
Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis |
title_short |
Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis |
title_full |
Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis |
title_fullStr |
Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis |
title_full_unstemmed |
Neuroinvasive Infection from O117:K52:H-Escherichia coli following Acute Pyelonephritis |
title_sort |
neuroinvasive infection from o117:k52:h-escherichia coli following acute pyelonephritis |
publisher |
Hindawi Limited |
series |
Case Reports in Infectious Diseases |
issn |
2090-6625 2090-6633 |
publishDate |
2017-01-01 |
description |
Spontaneous or nosocomial Escherichia coli meningitis remains rare in healthy adults but is still carrying a high mortality rate despite adapted antimicrobial treatment for susceptible strains. A 39-year-old woman was admitted to the hospital with severe subarachnoid haemorrhage complicated by acute hydrocephalus. On hospital day 10, she developed Streptococcus anginosus septicaemia and urinary tract infection due to a multisensitive strain of E. coli. This infection was successfully controlled by antimicrobial therapy. As a late complication in the neurosurgical ward (day 39), she developed fever, alteration of consciousness, and shock, leading to the diagnosis of bacterial meningitis. The culture of blood, cerebrospinal fluid, and urine grew positive for a multisensitive E. coli. The strain was identified as O117:K52:H, a serotype that was until now never associated with acute meningitis or brain abscesses. The source appeared to be the urinary tract with the demonstration of acute pyelonephritis. The patient died on day 94 from delayed complications of multiple brain abscesses. |
url |
http://dx.doi.org/10.1155/2017/8976754 |
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