Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman

Kenta Ikeda, Yasuhiro Manabe, Shunya Fujiwara, Yoshio Omote, Hisashi Narai, Koji Abe

Research output: Contribution to journalArticle

Abstract

We report a rare case of Campylobacter fetus meningitis and pyogenic spondylodiscitis in a healthy young woman. A 35-year-old woman without significant medical history presented with fever, headache, and low back pain. C. fetus was detected from the blood culture. Cerebrospinal fluid analysis showed bacterial meningitis 2 days after onset. Although initial magnetic resonance imaging (MRI) did not reveal abnormal findings, repeated MRI showed a low-signal-intensity lesion on T1-weighted image (T1WI) and a high-signal-intensity lesion on T2WI between the L5 and S1 vertebral bodies 11 days after onset. The mode of infection was considered to be the consumption of raw chicken meat. After antibiotic treatment with 12 g/day ampicillin following 6 g/day meropenem, she was discharged 51 days after onset. As the inflammatory signs on MRI improved, oral antibiotic therapy was discontinued 85 days after onset. Although the initial MRI showed no abnormal findings, repeat MRI should be performed for patients who have persistent low back pain and fever.

Original languageEnglish
Pages (from-to)299-303
Number of pages5
JournalCase Reports in Neurology
Volume11
Issue number3
DOIs
Publication statusPublished - Sep 1 2019

Keywords

  • Bacterial meningitis
  • Campylobacter fetus
  • Healthy young female
  • Pyogenic spondylodiscitis

ASJC Scopus subject areas

  • Clinical Neurology

Fingerprint Dive into the research topics of 'Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman'. Together they form a unique fingerprint.

Cite this