Neurol Case Rep | Volume 5, Issue 1 | Case Report | Open Access

A Different Facilitating Factor in the Etiology of Meningitis

Gamze Gursoy1*, Caglayan Merve Ayaz2, Oguz Kodaz3 and Serhat Unal4

1Department of Infectious Diseases, Ardahan State Hospital, Turkey
2Department of Infectious Diseases and Clinical Microbiology, Ankara City Hospital, Turkey
3Department of Nuclear Medicine, Hacettepe University, Turkey
4Department of Infectious Diseases and Clinical Microbiology, Hacettepe University, Turkey

*Correspondance to: Gamze Gursoy 

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Abstract

Bacterial meningitis is a rare infectious disease with high morbidity and mortality. Usually there are facilitating factors such as head trauma or previous head surgery. In this case, extra nodal marginal zone lymphoma was shown as the underlying facilitating factor in a patient who was followed up with the diagnosis of meningitis. Although 1% of all non-Hodgkin's lymphomas present with orbital involvement. Lymphomas inactivating the complement pathway, particularly the alternative pathway, may cause an increase in the sensitivity of gram-negative bacteria. In this case, although no causative agent could be produced in the culture, gram-negative bacteria were observed in the microscopic smear, and empirical antibiotic therapy was started considering the clinical findings, and clinical improvement was observed.

Keywords:

Gram-negative bacteria; Non-Hodgkin lymphoma; Bacterial meningitis; Cerebrospinal fluid

Citation:

Gursoy G, Ayaz CM, Kodaz O, Unal S. A Different Facilitating Factor in the Etiology of Meningitis. Neurol Case Rep. 2022; 5(1): 1031..

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