2014年
Actinomyces meyeri Meningitis: The Need for Anaerobic Cerebrospinal Fluid Cultures
INTERNAL MEDICINE
- ,
- 巻
- 53
- 号
- 1
- 開始ページ
- 67
- 終了ページ
- 71
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.2169/internalmedicine.53.0403
- 出版者・発行元
- JAPAN SOC INTERNAL MEDICINE
We herein present a rare case of Actinomyces meyeri-induced meningitis that occurred in a patient of advanced age with poor oral hygiene. Although Gram staining of the cerebrospinal fluid (CSF) revealed Grampositive rods and a blood culture was positive for the organism, a bacterial culture of the CSF was negative. Anaerobic cultures of CSF specimens are not routinely performed; however, anaerobes are sometimes involved in central nervous system infection. We therefore believe that anaerobic cultures should be considered in high-risk cases, such as those involving necrotizing bowel lesions or poor oral hygiene. A negative result on a CSF culture can result in misdiagnosis and inappropriate treatment.
- リンク情報
- ID情報
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- DOI : 10.2169/internalmedicine.53.0403
- ISSN : 0918-2918
- eISSN : 1349-7235
- PubMed ID : 24390532
- Web of Science ID : WOS:000329409100013