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Meningitis due to bacillus anthracis.

Gürcan S, Akata F, Kuloğlu F, Erdoğan S, Tuğrul M - Yonsei Med. J. (2005)

Bottom Line: The first case of haemorrhagic meningitis due to Bacillus anthracis in the European part of Turkey is reported here.B. anthracis, sensitive to penicillin, was isolated from the cerebrospinal fluid and blood cultures.Although appropriate therapy was administered, the patient died two days after hospitalization.

View Article: PubMed Central - PubMed

Affiliation: Department of Microbiology and Clinical Microbiology, Trakya University, Medical Faculty, 22030 Edirne, Turkey. sabangurcan@trakya.edu.tr

ABSTRACT
The first case of haemorrhagic meningitis due to Bacillus anthracis in the European part of Turkey is reported here. B. anthracis, sensitive to penicillin, was isolated from the cerebrospinal fluid and blood cultures. Although appropriate therapy was administered, the patient died two days after hospitalization.

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Bacillus anthracis seen in Gram's stain of cerebrospinal fluid (× 1000)
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Figure 1: Bacillus anthracis seen in Gram's stain of cerebrospinal fluid (× 1000)

Mentions: His white blood cell (WBC) and platelet counts were 25,600/mm3 and 130,000/mm3, respectively. Erythrocyte sedimentation rate was 12 mm/h. The blood biochemical values were normal except for high levels of glucose (143 mg/dl) and AST (73 U/L). C-reactive protein was also elevated (133 mg/dl). Following the discovery of subarachnoid haemorrhage on cerebral computerized tomography (CT) scan, the patient was hospitalized on the advice of the neurosurgeons with the diagnosis of cerebrovascular accident. Although there were no meningeal irritation signs, anthrax meningitis was considered by specialists of infectious diseases because of the presence of skin lesions and subarachnoid haemorrhage. The performance of additional anamnesis detected that the patient had slaughtered a sick sheep a week before admission. In lumbar puncture, the cerebrospinal fluid (CSF) was projectile and haemorrhagic with a WBC count of 1184/mm3, of which 85% was polymorphonuclear leukocytes and plenty of erythrocytes. Large gram-positive bacilli were seen in the CSF smear (Fig. 1). B. anthracis was isolated from cultures of CSF and blood.


Meningitis due to bacillus anthracis.

Gürcan S, Akata F, Kuloğlu F, Erdoğan S, Tuğrul M - Yonsei Med. J. (2005)

Bacillus anthracis seen in Gram's stain of cerebrospinal fluid (× 1000)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2823043&req=5

Figure 1: Bacillus anthracis seen in Gram's stain of cerebrospinal fluid (× 1000)
Mentions: His white blood cell (WBC) and platelet counts were 25,600/mm3 and 130,000/mm3, respectively. Erythrocyte sedimentation rate was 12 mm/h. The blood biochemical values were normal except for high levels of glucose (143 mg/dl) and AST (73 U/L). C-reactive protein was also elevated (133 mg/dl). Following the discovery of subarachnoid haemorrhage on cerebral computerized tomography (CT) scan, the patient was hospitalized on the advice of the neurosurgeons with the diagnosis of cerebrovascular accident. Although there were no meningeal irritation signs, anthrax meningitis was considered by specialists of infectious diseases because of the presence of skin lesions and subarachnoid haemorrhage. The performance of additional anamnesis detected that the patient had slaughtered a sick sheep a week before admission. In lumbar puncture, the cerebrospinal fluid (CSF) was projectile and haemorrhagic with a WBC count of 1184/mm3, of which 85% was polymorphonuclear leukocytes and plenty of erythrocytes. Large gram-positive bacilli were seen in the CSF smear (Fig. 1). B. anthracis was isolated from cultures of CSF and blood.

Bottom Line: The first case of haemorrhagic meningitis due to Bacillus anthracis in the European part of Turkey is reported here.B. anthracis, sensitive to penicillin, was isolated from the cerebrospinal fluid and blood cultures.Although appropriate therapy was administered, the patient died two days after hospitalization.

View Article: PubMed Central - PubMed

Affiliation: Department of Microbiology and Clinical Microbiology, Trakya University, Medical Faculty, 22030 Edirne, Turkey. sabangurcan@trakya.edu.tr

ABSTRACT
The first case of haemorrhagic meningitis due to Bacillus anthracis in the European part of Turkey is reported here. B. anthracis, sensitive to penicillin, was isolated from the cerebrospinal fluid and blood cultures. Although appropriate therapy was administered, the patient died two days after hospitalization.

Show MeSH
Related in: MedlinePlus