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Case Reports
. 2003 May;30(2):155-8.
doi: 10.1017/s0317167100053440.

Acute disseminated encephalomyelitis associated with Pasteurella multocida meningitis

Normand L Proulx  1 , Mark S Freedman, James W Chan, Baldwin Toye, Cathy C Code
Affiliations
Case Reports

Acute disseminated encephalomyelitis associated with Pasteurella multocida meningitis

Normand L Proulx et al. Can J Neurol Sci. 2003 May.

Abstract

Objective: To describe a case of Pasteurella multocida meningitis associated with acute disseminated encephalomyelitis (ADEM).

Case report: A 33-year-old woman employed in a dog pound presented herself to hospital with fever and meningismus and was found to have culture positive Pasteurella multocida meningitis. Despite appropriate antibiotic treatment her clinical course was characterized by a persistent fever and worsening encephalopathy, which prompted further neurological investigation. Spinal fluid exam and serial MRI scans as well as her one-year clinical course were found to be compatible with ADEM.

Conclusion: Persistent fever and worsening encephalopathy in meningitis may indicate a para-infectious immune process such as ADEM, and may serve as indications for further neurological investigation.

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