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Case Reports in Medicine
Volume 2011, Article ID 735265, 5 pages
http://dx.doi.org/10.1155/2011/735265
Case Report

Purulent Meningitis as an Unusual Presentation of Staphylococcus aureus Endocarditis: A Case Report and Literature Review

Department of Public Health and Infectious Diseases, University of Rome “Sapienza”, 00155 Rome, Italy

Received 10 October 2010; Revised 17 January 2011; Accepted 27 January 2011

Academic Editor: Niranjan Kissoon

Copyright © 2011 Giancarlo Ceccarelli et al. 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.

Abstract

On presentation of Staphylococcus aureus endocarditis, unusual manifestations may represent the main clinical features of the disease. Isolated bacterial meningitis as the first manifestation of endocarditis is considered to be an unusual neurological complication. Here, we describe a case S. aureus endocarditis presenting as isolated meningitis and mimicking meningococcal septicaemia. Because of the high mortality rate of the disease, the prompt recognition of this infectious syndrome is of crucial importance for the correct management of patients.