Community-acquired Escherichia coli meningitis and spondylodiscitis in an adult patient with discoid lupus erythematosus

dc.creatorVale, Francisco Martins
dc.creatorPinto Junior, Vitor Laerte
dc.creatorCasella, Maria Isabel
dc.creatorPoças, José
dc.date2020-07-14T12:28:10Z
dc.date2020-07-14T12:28:10Z
dc.date2019
dc.date.accessioned2023-09-26T21:00:22Z
dc.date.available2023-09-26T21:00:22Z
dc.identifierVALE, 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.
dc.identifier2214-2509
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/42242
dc.identifier10.1016/j.idcr.2019.e00573
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8867595
dc.descriptionVítor 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.
dc.descriptionAcute 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.
dc.formatapplication/pdf
dc.languagepor
dc.publisherElsevier
dc.rightsopen access
dc.subjectEscherichia coli
dc.subjectMeningitis
dc.subjectDiscitis
dc.subjectLupus Erythematosus, Discoid
dc.subjectEscherichia coli
dc.subjectMeningitis
dc.subjectSpondylodiscitis
dc.subjectDiscoid lupus erythematosus
dc.subjectEscherichia coli
dc.subjectMeningite
dc.subjectDiscite
dc.subjectLúpus Eritematoso Discoide
dc.titleCommunity-acquired Escherichia coli meningitis and spondylodiscitis in an adult patient with discoid lupus erythematosus
dc.typeArticle


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