Author | Vale, Francisco Martins | |
Author | Pinto Junior, Vitor Laerte | |
Author | Casella, Maria Isabel | |
Author | Poças, José | |
Access date | 2020-07-14T12:28:10Z | |
Available date | 2020-07-14T12:28:10Z | |
Document date | 2019 | |
Citation | VALE, Francisco et al. Community-acquired Escherichia coli meningitis and spondylodiscitis in an adult patient with discoid lupus erythematosus. IDCases, [s.l], v.19, p. 1-3, 2019. | pt_BR |
ISSN | 2214-2509 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/42242 | |
Description | Vítor Laerte Pinto Junior - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento. | pt_BR |
Language | por | pt_BR |
Publisher | Elsevier | pt_BR |
Rights | open access | pt_BR |
MeSH | Escherichia coli | pt_BR |
MeSH | Meningitis | pt_BR |
MeSH | Discitis | pt_BR |
MeSH | Lupus Erythematosus, Discoid | pt_BR |
Title | Community-acquired Escherichia coli meningitis and spondylodiscitis in an adult patient with discoid lupus erythematosus | pt_BR |
Type | Article | pt_BR |
DOI | 10.1016/j.idcr.2019.e00573 | |
Abstract | Acute bacterial meningitis has a high impact on adult mortality worldwide. Community-acquired Escherichia coli meningitis (CA-ECM) is a rare and poorly described condition and the available knowledge is based on low evidence research, mainly from case reports. We describe a case of CA-ECM in Portugal in an adult patient with discoid lupus erythematosus under immunomodulatory therapy. A 73-year-old woman was admitted to the emergency department with fever and altered mental status over 48 h. Cerebrospinal fluid analysis showed 185 leukocytes/μL, including 85% neutrophils, hypoglycorrhachia (less than 5 mg/dL) and elevated protein of 423 mg/dL with positive culture for Escherichia coli. She was treated with ceftriaxone. Imaging studies also demonstrated spondylodiscitis and arthritis. She responded well to antimicrobial therapy and completed the treatment as an outpatient. | pt_BR |
Affilliation | São Bernardo Hospital. Infectious Diseases Department. Setúbal, Portugal. | pt_BR |
Affilliation | São Bernardo Hospital. Infectious Diseases Department. Setúbal, Portugal. | pt_BR |
Affilliation | São Bernardo Hospital. Infectious Diseases Department. Setúbal, Portugal. | pt_BR |
Affilliation | São Bernardo Hospital. Infectious Diseases Department. Setúbal, Portugal. | pt_BR |
Subject | Escherichia coli | pt_BR |
Subject | Meningitis | pt_BR |
Subject | Spondylodiscitis | pt_BR |
Subject | Discoid lupus erythematosus | pt_BR |
DeCS | Escherichia coli | pt_BR |
DeCS | Meningite | pt_BR |
DeCS | Discite | pt_BR |
DeCS | Lúpus Eritematoso Discoide | pt_BR |