Boschin-Crinquette C, Kreisler A, Legout L, Charpentier P, Destée A, Defebvre L. [Can meningoencephalitis be caused by Chlamydiae pneumoniae?].
Rev Neurol (Paris) 2006;
161:979-83. [PMID:
16365630 DOI:
10.1016/s0035-3787(05)85164-1]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
INTRODUCTION
Meningoencephalitis attributed to Chlamydiae pneumoniae has rarely been reported in the literature.
OBSERVATION
We describe the case of a 21-year-old-man admitted for a meningeal syndrome and fever associated with respiratory symptoms and a temporal syndrome. Even though the clinical presentation and certain serological results suggested Chlamydiae infection, some of the biological data raised the possibility of Epstein Barr Virus infection. Intravenous fluoroquinolone therapy led to a successful outcome.
CONCLUSION
Meningoencephalitis associated with non neurological symptoms, especially respiratory symptoms, is suggestive of Chlamydia pneumoniae infection. A broad spectrum antibiotic should be prescribed.
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