Rickettsial infection presenting as culture-negative meningitis

Postgrad Med J. 1988 Aug;64(754):614-6. doi: 10.1136/pgmj.64.754.614.

Abstract

Meningitis is an unusual presentation of rickettsial infection. We report a patient who was confirmed by serology to have typhus fever (not scrub), but who presented with the typical findings of culture-negative bacterial meningitis. Neurological manifestations of different types of rickettsial infection are discussed.

Publication types

  • Case Reports

MeSH terms

  • Chloramphenicol / therapeutic use
  • Diagnosis, Differential
  • Humans
  • Male
  • Meningitis / diagnosis*
  • Meningitis / microbiology
  • Middle Aged
  • Tetracycline / therapeutic use
  • Typhus, Epidemic Louse-Borne / diagnosis*
  • Typhus, Epidemic Louse-Borne / drug therapy

Substances

  • Chloramphenicol
  • Tetracycline