A case of fulminant Bacillus cereus meningoencephalitis after neuroplasty with white matter change
- Author:
Jae-Won Jang
;
Jin Sun Jun
;
Young Ho Park
;
Jung E. Kim
;
SangYun Kim
- Publication Type:Journal Article
- From:Neurology Asia
2013;18(3):315-317
- CountryMalaysia
- Language:English
-
Abstract:
Bacillus cereus meningitis can show unusual presentation and very rapid progression associated with
high mortality and unusual MRI findings. We report a 77-year-old man with fever and altered mentality
after epidural neuroplasty for chronic lumbar spinal pain. Symptoms rapidly progressed over the 12
hours following surgery. He was diagnosed with meningoencephalitis by Bacillus cereus confirmed
by CSF culture and DNA sequencing. He improved with antibiotics slowly although his mental state
did not completely revert to his prior level. This case demonstrates the rapid and fulminant clinical
picture produced by Bacillus cereus associated with neuroplasty. It also shows peculiar frontal white
matter changes with hydrocephalus on MRI
- Full text:P020150706567935481136.pdf
