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Case ReportOpen Access
Actinomycotic Meningitis : Report of a Case
A 73-year-old man who presented with acute fever, drowsiness and confusion was reported.
Two weeks prior to admission, he attended the Outpatient Department with symptoms of fever and
headache for 2 weeks. Eosiophilic meningitis was initially diagnosed, which, in fact, was lympho-
cytic CSF pleocytosis. He was treated with a high dose of prednisolone. His symptoms improved
for I week, then he experienced symptoms of fever and headache again. On admission, he had
stiffness of the neck. Lumbar puncture showed purulent CSF with Gram-positive branching fila-
mentous organisms. CSF grew
Actinomyces israelii.
The patient died from brain herniation.
Key word : Meningitis, Actinomycosis, Case Report
Two weeks prior to admission, he attended the Outpatient Department with symptoms of fever and
headache for 2 weeks. Eosiophilic meningitis was initially diagnosed, which, in fact, was lympho-
cytic CSF pleocytosis. He was treated with a high dose of prednisolone. His symptoms improved
for I week, then he experienced symptoms of fever and headache again. On admission, he had
stiffness of the neck. Lumbar puncture showed purulent CSF with Gram-positive branching fila-
mentous organisms. CSF grew
Actinomyces israelii.
The patient died from brain herniation.
Key word : Meningitis, Actinomycosis, Case Report
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