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• Vol.64 No.7
• CLINICA NEUROL, 64: 490−495, 2024
• Vol.64 No.7 contents

Case Report

A case of recurrent Campylobacter fetus meningitis, occurring two months after the initial infection was successfully treated

Satoki Ito, M.D., Takuya Tamura, M.D., Ph.D., Yuji Ishihara, M.D., Haruka Ito, M.D., Tomoko Noda, M.D., Ph.D. and Hiroki Ito, M.D., Ph.D.

Department of Neurology, Ichinomiya Municipal Hospital

A 43-year-old man was admitted to our department due to fever and headache. The cerebrospinal fluid analysis confirmed bacterial meningitis. Campylobacter species were isolated from blood cultures on the third day of admission. The patient was treated with meropenem (MEPM) and discharged on the 17th day. However, he experienced a recurrence of meningitis and was readmitted on the 68th day, initiating MEPM therapy. Campylobacter fetus was isolated from cerebrospinal fluid cultures on the 74th day. MEPM was continued until the 81st day, followed by one month of minocycline (MINO) therapy. The patient had an uneventful recovery without further recurrence. This case highlights the potential for recurrence of Campylobacter fetus meningitis approximately two months after the resolution of the initial infection. In addition to carbapenem therapy for at least two weeks, the adjunctive administration of MINO may be beneficial.
Full Text of this Article in PDF (852K)

(CLINICA NEUROL, 64: 490−495, 2024)
key words: Campylobacter fetus meningitis, bacterial meningitis, relapse

(Received: 26-Jan-24)