Meningitis caused by Enterococcus faecalis during disseminated anguilluliasis

Disseminated anguilluliasis is a serious disease requiring early diagnosis and treatment. The occurrence of bacterial complications, especially meningeal, is generally due to Gram-negative bacteria from the gastrointestinal tract. A 52-year-old man from Guadeloupe, treated for T-lymphoma during the...

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Bibliographic Details
Published in:La Presse médicale (1983) 2006-01, Vol.35 (1 Pt 1), p.64-66
Main Authors: Zahar, Jean-Ralph, Tankovic, Jacques, Catherinot, Emilie, Meshaka, Patrick, Nitenberg, Gérard
Format: Article
Language:fre
Subjects:
Amoxicillin - administration & dosage
Amoxicillin - therapeutic use
Animals
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Antiparasitic Agents - administration & dosage
Antiparasitic Agents - therapeutic use
Bronchoalveolar Lavage Fluid
Cerebrospinal Fluid - microbiology
Drug Therapy, Combination
Enterococcus faecalis
Enterococcus faecalis - isolation & purification
Feces - parasitology
Gentamicins - administration & dosage
Gentamicins - therapeutic use
Gram-Positive Bacterial Infections - complications
Gram-Positive Bacterial Infections - drug therapy
Humans
Ivermectin - administration & dosage
Ivermectin - therapeutic use
Male
Meningitis, Bacterial - complications
Meningitis, Bacterial - drug therapy
Meningitis, Bacterial - etiology
Middle Aged
Strongyloides stercoralis
Strongyloides stercoralis - isolation & purification
Strongyloidiasis - complications
Strongyloidiasis - diagnosis
Strongyloidiasis - drug therapy
Strongyloidiasis - parasitology
Time Factors
Treatment Outcome
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Description
Summary:Disseminated anguilluliasis is a serious disease requiring early diagnosis and treatment. The occurrence of bacterial complications, especially meningeal, is generally due to Gram-negative bacteria from the gastrointestinal tract. A 52-year-old man from Guadeloupe, treated for T-lymphoma during the previous year by polychemotherapy, was hospitalized for meningitis. Culture of the cerebrospinal fluid and the bronchoalveolar lavage both showed Enterococcus faecalis. Strongyloides stercoralis were also found in the stool and bronchoalveolar lavage. Outcome under treatment was favorable. This case reminds us of the usefulness of presumptive routine ivermectin treatment for all patients exposed to any immunosuppression treatment and ever having lived in a tropical area and thus possibly infected by chronic but silent anguilluliasis, even in the absence of parasitological certainty.
ISSN:0755-4982
DOI:10.1016/S0755-4982(06)74523-7