ENTEROCOCCUS-FAECALIS MENINGITIS

Enterococcus faecalis meningitis is an infrequent entity that accounts for less than 1% of all suppurative meningitis in the adult. Usually, this infection affects patients with compromised host defenses or tho se who have congenital or acquired CNS lesions mainly as intrahospital ary infections. An 85 year old woman from our community (Tandil county ) without any predisposed condition, was admitted in the hospital in a n unconscious state (grade 3 Glasgow's index), meningeal signs and pur ulent CSF, from which E. faecalis was isolated. The patient was treate d with IV Ampicillin and Gentamycin (17 days), intrathecal Gentamycin (4 days) and IV dexametasona (6 days). The clinical and bacteriologica l remission was achieved, without any sequel or relapse during 2 years follow up.