A case report of meningitis and sepsis due to Enterococcus faecium complicated with strongyloidiasis

N. Furuya, K. Shimozi, H. Nakamura, T. Owan, M. Tateyama, K. Tamaki, H. Fukuhara, N. Kusano, T. Shikiya, H. Kaneshima

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Abstract

A 80 year-old male was transferred to our department on 18th Aug. 1988, for high fever and clouding of the consciousness. He had been treated with steroid hormone (betamethasone 3.0 mg/day for 15 days) for his uveitis. Enterococcus faecium was isolated from both blood and spinal fluid, and then Strongyloides sterocoralis was revealed both in the sputum and stool. Anti-Human T-cell leukemia virus 1 (HTLV-1) antibody was also positive serologically. At first, beta-lactam antibiotics were used for the treatment of purulent meningitis and sepsis, but after performing sensitivity tests for E. faecium, the antibiotics were changed to rifampicin (RFP), fosfomycin (FOM) and ofloxacin (OFLX) for their excellent activity against the organism. After the clinical symptoms, subsided, thiabendazole was used for disseminated strongyloidiasis in daily doses of 2,500 mg for six days initially. The drug was used three times with two week intervals. Both bacterial and parasite infections subsided and no recurrence has been noticed until now. This is the first case of meningitis caused by E. facium complicated with strongyloidiasis.

Original languageEnglish
Pages (from-to)1344-1349
Number of pages6
JournalKansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
Volume63
Issue number12
DOIs
Publication statusPublished - Dec 1989
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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