COINCIDENT MENINGITIS AND INTRACEREBRAL HEMORRHAGE IN AN UNRESPONSIVEADULT

Intracerebral hemorrhage is an unusual complication of central nervous system infection. A 54-year-old man presented to our emergency depart ment unresponsive following an acute intracerebral hemorrhage that lik ely occurred as a complication of pneumococcal meningitis. Although th e simultaneous presence of meningitis and intracerebral hemorrhage is rare, prompt identification and treatment of each is essential to maxi mize the outcome. The intracranial complications and various presentat ions of bacterial meningitis in adults are reviewed. (Am J Emerg Med 1 998;16:576-578. Copyright (C) 1998 by W.B. Saunders Company).