Escherichia coli: a rare cause of meningitis in immuno-competent adult

A 35-year-old male of Asian ethnicity presented with complaints of high-grade fever, severe headache, vomiting, generalized seizures, deteriorated conscious level and neck stiffness. After all baseline workup Computed Tomography (CT) scan of the brain was done, which turned out to be unremarkable. C...

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Main Authors: Maryam Zafar (Author), Abubakar Tauseef (Author), Muhammad Sohaib Asghar (Author), Narmin Khan (Author), Nabeeha Farooqui (Author), Mustafa Dawood (Author), Tanvir Alam (Author), Durre Naman (Author)
Format: Book
Published: Greater Baltimore Medical Center, 2020-01-01T00:00:00Z.
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100 1 0 |a Maryam Zafar  |e author 
700 1 0 |a Abubakar Tauseef  |e author 
700 1 0 |a Muhammad Sohaib Asghar  |e author 
700 1 0 |a Narmin Khan  |e author 
700 1 0 |a Nabeeha Farooqui  |e author 
700 1 0 |a Mustafa Dawood  |e author 
700 1 0 |a Tanvir Alam  |e author 
700 1 0 |a Durre Naman  |e author 
245 0 0 |a Escherichia coli: a rare cause of meningitis in immuno-competent adult 
260 |b Greater Baltimore Medical Center,   |c 2020-01-01T00:00:00Z. 
500 |a 2000-9666 
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520 |a A 35-year-old male of Asian ethnicity presented with complaints of high-grade fever, severe headache, vomiting, generalized seizures, deteriorated conscious level and neck stiffness. After all baseline workup Computed Tomography (CT) scan of the brain was done, which turned out to be unremarkable. CT scan was then followed by lumbar puncture (LP) and Cerebrospinal fluid (CSF) detailed report was sent, which was highly suggestive of bacterial meningitis with the predominance of polymorphonuclear leukocytes. Later on, CSF culture and sensitivity report showed growth of Escherichia coli, which is one of the rare causes of meningitis in immunocompetent adults without any history of craniocerebral trauma, neurosurgical intervention, urinary or gastrointestinal tract infections, and an immunocompromised state. Abbreviations CSF: Cerebrospinal fluid; LP: Lumbar puncture; CT: Computerized tomography; E-coli: Escherichia coli; GCS: Glasgow coma scale; COPD: Chronic Obstructive Pulmonary Disease; HTLV1: Human T-Lymphotropic virus −1; PCR: Polymerase chain reaction 
546 |a EN 
690 |a escherichia coli 
690 |a rare 
690 |a meningitis 
690 |a immuno-competent 
690 |a adult 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 1, Pp 69-72 (2020) 
787 0 |n http://dx.doi.org/10.1080/20009666.2020.1715190 
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