Actinomycotic Meningitis : Report of a Case

VERAJIT CHOTMONGKOL, M.D.*, JEDSADA PANTHAVASIT,M.D.*, KITTISAK CHUESAKOOLVANICH, M.D.*

Affiliation : * Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

AbstractA 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.

Keywords : Meningitis, Actinomycosis, Case Report

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