RESUMEN
We report the case of fatal anthrax meningoencephalitis in the province of Mus located in eastern Anatolia, Turkey. The organism isolated from cerebrospinal fluid was identified as Bacillus anthracis. The patient was treated with crystallized penicillin G (24 MU/day IV) and ciprofloxacin (2 × 400/day IV), but died 5 days after hospitalization. Although it is a rare case, we consider that the patients who have skin, respiratory and neurological systems might also have hemorrhagic meningitis.
Asunto(s)
Carbunco/diagnóstico , Meningitis/diagnóstico , Enfermedades Cutáneas Bacterianas/diagnóstico , Carbunco/tratamiento farmacológico , Antibacterianos/uso terapéutico , Ciprofloxacina/uso terapéutico , Resultado Fatal , Femenino , Humanos , Meningitis/tratamiento farmacológico , Persona de Mediana Edad , Penicilina G/uso terapéutico , Enfermedades Cutáneas Bacterianas/tratamiento farmacológico , TurquíaRESUMEN
Although varicella-zoster virus (VZV) is known to affect the central nervous system in a protean manner, hemorrhagic VZV meningitis has not been well documented in the literature. Here, we correlate the clinical, cytologic, and radiologic findings in an immunocompromised patient presenting with subarachnoid hemorrhage associated with VZV meningitis. Clinical findings included multidermatomal zoster, myelitis, and neurapraxia. Magnetic resonance imaging findings included superficial siderosis and diffused linear and nodular leptomeningeal enhancement. Cerebrospinal fluid cytology revealed hemorrhage and lymphocytic pleocytosis. This case report adds hemorrhagic meningitis to the spectrum of complications associated with disseminated VZV infection.