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Canadian Journal of Infectious Diseases
Volume 3, Issue 2, Pages 71-74
Case Report

Bacterial Meningitis in HIV-Infected Patients: Case Reports and Review of the Literature

Robert Tommasini and Ignatius W Fong

Department of Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada

Received 19 December 1990; Accepted 16 April 1991

Copyright © 1992 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Meningitis is not an uncommon complication of the acquired immune deficiency syndrome. Purulent meningitis is not a well recognized infection in human immunodeficiency virus (HIV) positive patients. Three cases of bacterial meningitis caused by Streptococcus pneumoniae, Neisseria meningitidis and Listeria monocytogenes are presented. These cases illustrate that common community organisms may present in HIV positive patients. An acquired B cell defect may predispose to bacterial infections responsible for meningitis in HIV-infected patients.