Gram-negative Bacillary Meningitis:A Case Report of E. coli Meningitis in Adult

J Korean Neurol Assoc > Volume 10(1); 1992 > Article

Journal of the Korean Neurological Association 1992;10(1): 103-108.

성인에서 발생한 그람음성간균(대장균)뇌막염 1례

황선출, 나상옥,김거형,최문성,박규현,김상욱

메리놀병원 신경과. 부산대학교 신경과.

Gram-negative Bacillary Meningitis:A Case Report of E. coli Meningitis in Adult

Seon-Chool Hwang, M.D., Sang-Ok Ra, M.D., Geo-Hyoung Kim, M.D., Mun-Seung Choi, M.D., Kyu-Hyun Park, M.D., Sang-Wook Kim, M.D.

Department of Neurology, College of Medicine, Pusan University, Department of Neurology Maryknoll Hospital

Abstract

We treated a 66 year-old-male patient with non-traumatic spontaneous E. coli meningitis, whose cerebrospinal fluid showed turbid, and from which E. coli was cultured, and who had urinary tract infection and fatty liver disease which were thought to be predisposing factors to the meningitis. Gram-negative bacillary meningitis is a very rare condition after the neonatal period, and may be complicated by penetrating cranial injuries, neurosurgical interventions or such debilitating diseases as diabetes, liver cirrhosis, urinary tract infection, malignancy and alcholism, etc. It has a high mortality rate in spite of using various antibiotics.