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
DOIs
Publication statusAccepted/In press - Jan 1 2019

Fingerprint

Campylobacter fetus
Discitis
Meningitis
Magnetic Resonance Imaging
meropenem
Low Back Pain
Fever
Anti-Bacterial Agents
Bacterial Meningitides
Ampicillin
Meat
Headache
Cerebrospinal Fluid
Chickens
Therapeutics
Infection

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman. / Ikeda, Kenta; Manabe, Yasuhiro; Fujiwara, Shunya; Omote, Yoshio; Narai, Hisashi; Abe, Koji.

In: Case Reports in Neurology, 01.01.2019, p. 299-303.

Research output: Contribution to journalArticle

Ikeda, Kenta ; Manabe, Yasuhiro ; Fujiwara, Shunya ; Omote, Yoshio ; Narai, Hisashi ; Abe, Koji. / Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman. In: Case Reports in Neurology. 2019 ; pp. 299-303.
@article{634de6f6ccbb421596b67c8a6c31c995,
title = "Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman",
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.",
keywords = "Bacterial meningitis, Campylobacter fetus, Healthy young female, Pyogenic spondylodiscitis",
author = "Kenta Ikeda and Yasuhiro Manabe and Shunya Fujiwara and Yoshio Omote and Hisashi Narai and Koji Abe",
year = "2019",
month = "1",
day = "1",
doi = "10.1159/000503814",
language = "English",
pages = "299--303",
journal = "Case Reports in Neurology",
issn = "1662-680X",
publisher = "S. Karger AG",

}

TY - JOUR

T1 - Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman

AU - Ikeda, Kenta

AU - Manabe, Yasuhiro

AU - Fujiwara, Shunya

AU - Omote, Yoshio

AU - Narai, Hisashi

AU - Abe, Koji

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

KW - Bacterial meningitis

KW - Campylobacter fetus

KW - Healthy young female

KW - Pyogenic spondylodiscitis

UR - http://www.scopus.com/inward/record.url?scp=85075680675&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85075680675&partnerID=8YFLogxK

U2 - 10.1159/000503814

DO - 10.1159/000503814

M3 - Article

AN - SCOPUS:85075680675

SP - 299

EP - 303

JO - Case Reports in Neurology

JF - Case Reports in Neurology

SN - 1662-680X

ER -