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Case Reports
. 2023 Jan 24;15(1):e34153.
doi: 10.7759/cureus.34153. eCollection 2023 Jan.

Meningitis With Staphylococcus aureus Bacteremia in an Older Patient With Nonspecific Symptoms: A Case Report

Airi Minatogawa  1 , Junya Ohara  2 , Yuta Horinishi  3 , Chiaki Sano  4 , Ryuichi Ohta  3
Affiliations
Case Reports

Meningitis With Staphylococcus aureus Bacteremia in an Older Patient With Nonspecific Symptoms: A Case Report

Airi Minatogawa et al. Cureus. .

Abstract

Staphylococcus aureus bacteremia has been associated with various symptoms that can spread to diverse organs, including the meninges, which can be challenging to diagnose given the nonspecific symptoms. Early examination, including assessment of the cerebrospinal fluid, is necessary when a patient is diagnosed with S. aureus bacteremia accompanied by unconsciousness. A 73-year-old male presented to our hospital complaining of general malaise without fever. The patient developed impaired consciousness immediately after hospitalization. Following the investigations, the patient was diagnosed with S. aureus bacteremia and meningitis. If a patient presents with symptoms of unknown cause and acute progressive disease, meningitis and bacteremia should always be considered. Blood cultures should be performed promptly, affording an early diagnosis, bacteremia treatment, and the establishment of meningitis.

Keywords: erector pili muscle abscess; general malaise; general medicine; meningitis; rural hospital; staphylococcus aureus bacteremia.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Magnetic resonance imaging (short tau inversion recovery) showing multiple vertebritis and paraspinal abscesses (white arrows)
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