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When a Stroke is not Just a Stroke: Escherichia coli Meningitis with Ventriculitis and Vasculitis: A Case Report

Barbara Ribeiro

Barbara Ribeiro

Intensive Care Unit, Colchester General Hospital, East Suffolk and North Essex NHS Foundation TrustColchester, United Kingdom
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Ribeiro, Barbara
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Peter Bishop

Peter Bishop

Intensive Care Unit, Colchester General Hospital, East Suffolk and North Essex NHS Foundation TrustColchester, United Kingdom
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Bishop, Peter
 y 
Sima Jalili

Sima Jalili

Microbiology Department, Colchester General Hospital, East Suffolk and North Essex NHS Foundation TrustColchester, United Kingdom
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Jalili, Sima
  
31 ene 2020
When a Stroke is not Just a Stroke: Escherichia coli Meningitis with Ventriculitis and Vasculitis: A Case Report's Cover Image
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Categoría del artículo: Case Report
Publicado en línea: 31 ene 2020
Páginas: 65 - 70
Recibido: 20 feb 2019
Aceptado: 17 ene 2020
DOI: https://doi.org/10.2478/jccm-2020-0002
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© 2020 Barbara Ribeiro, Peter Bishop, Sima Jalili, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Fig. 1

Non contrast MRI brain on admission (5/10/2018) showing debris in the posterior horns of both the ventricles.
Non contrast MRI brain on admission (5/10/2018) showing debris in the posterior horns of both the ventricles.

Fig. 2

E. coli colonies in blood agar.
E. coli colonies in blood agar.

Fig. 3

E. coli colonies in chromogenic agar.
E. coli colonies in chromogenic agar.

Fig. 4

Non contrast CT brain (day 7 post admission, 12/10/2018) showing a low attenuation area in the posterior limb of the right internal capsule, in keeping with a recent infarct.
Non contrast CT brain (day 7 post admission, 12/10/2018) showing a low attenuation area in the posterior limb of the right internal capsule, in keeping with a recent infarct.

Fig. 5

MRI brain with contrast (Day 27, 2/11/2018) showing diffusion restriction in the posterior horn of the right lateral ventricle with trapped occipital horn.
MRI brain with contrast (Day 27, 2/11/2018) showing diffusion restriction in the posterior horn of the right lateral ventricle with trapped occipital horn.

Fig. 6

MRI brain with contrast (Day 41, 16/11/2018) showing mild reduction in the size of the ring-enhancing lesion in the occipital horn of the right lateral ventricle.
MRI brain with contrast (Day 41, 16/11/2018) showing mild reduction in the size of the ring-enhancing lesion in the occipital horn of the right lateral ventricle.

LP results (day 11)

CSF appearanceCSF results
White cell count14 106/L
Polymorphs30%
Lymphocytes70%
Clear and colourlessRed blood cells1 106/L
Protein0.55g/L
Glucose4.1mmol/L
Serum glucose6.8mmol/L

LP results (admission day)

CSF appearanceCSF results
White cell count15 680 106/L
Polymorphs95%
Lymphocytes5%
TurbidRed blood cells220 106/L
Protein4.26g/L
Glucose0.4mmol/L
Serum glucose7.0mmol/L

Results of relevant blood tests (on admission day)

TestResultNormal range
White cell count9.8 109/L4-11 109/L
Neutrophils8.8 109/L2-7.5 109/L
Lymphocytes0.2 109/L1-4 109/L
Platelets62 109/L135-450 109/L
C-reactive protein643mg/L0-5 mg/L
Creatinine232 μmol/L45-84μmol/L
Urea19.7mmol/L2.5-7.8 mmol/L
Idioma:
Inglés
Calendario de la edición:
4 veces al año
Temas de la revista:
Medicina, Medicina Clínica, Anestesiología, Medicina de urgencias y cuidados intensivos, Medicina Interna, Medicina Interna, otros, Cirugía, Cirugía, otros
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