Urinary tract infection and aseptic meningitis:a case report with literature review
10.3969/j.issn.1000-3606.2014.11.007
- VernacularTitle:尿路感染合并无菌性脑膜炎1例报告及文献复习
- Author:
Xiaoyue HU
;
Xiaohua XU
;
Ying HUA
- Publication Type:Journal Article
- Keywords:
urinary tract infection;
aseptic meningitis;
infant
- From:
Journal of Clinical Pediatrics
2014;(11):1024-1027
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and investigate clinical characteristics, pathogenesis and treatment of urinary tract infection and aseptic meningitis. Methods Clinical features and laboratory tests of a two-month-old baby girl with urinary tract infection and aseptic meningitis were reported. Results The patient complained of fever, neck stiffness and a bulging fontanel, accompanied by congestion and abnormal secretion of urethra. The cerebrospinal lfuid (CSF) white blood cell count was 30×106/L. The blood culture and the CSF culture were both negative. And the urine culture was positive for Enterococcus faecium. The patient received a 10-day course of intravenous antibiotic therapy. The prognosis is good with no recurrence of the disease. Conclusions Aseptic meningitis can be concomitant with urinary tract infection, The probable hypothesis may be that sterile CSF pleocytosis is mediated by urinary tract infection. Knowledge of this may prevent unnecessary antibiotics therapy for presumed bacterial meningitis.