Fatal subarachnoid hemorrhage complicating actinomycotic meningitis

Community-Acquired Listeria monocytogenes Meningitis in Adults

“…Subarachnoid hemorrhage is known to be a rare complication of tuberculous meningitis, actinomycotic meningitis, and bacterial meningitis due to S. pneumoniae, but it has never been described in L. monocytogenes meningitis [32][33][34].…”

Is there progress in the autopsy diagnosis of sudden unexpected death in adults?

“…In the last years, many case reports of sudden death have been published, showing rare causes of sudden death which are various and not always cardiac [6][7][8][9][10][11][12][13][14]. These case reports stressed the importance of a complete autopsy with the use of classical complementary techniques, especially histological techniques and neuropathology, but also in some cases with the use of more specific techniques carried out in the living patient such as hemoglobin electrophoresis for the diagnosis of sickle cell syndrome [8].…”

Purulent Meningitis Caused by Actinomyces Successfully Treated with Rifampicin: A Case Report

“…After this report, additional cases of brain abscess were reported with good treatment responses (4, 6, 7). Meanwhile, reports of actinomyces-associated meningitis remain limited (2,3). Although antimicrobial agents such as penicillin are generally effective for actinomycosis, the treatment course of the meningitis may be associated with complications such as cerebral infarction (2) and subarachnoid hemorrhage (3) as a result of secondary angiitis.…”

“…Actinomyces can rarely cause central nervous system (CNS) infection (1). Many of the reported CNS infections caused by Actinomyces were brain abscesses; however, reports of Actinomyces-associated meningitis remain limited (2,3). We report a case of purulent meningitis caused by Actinomyces species that presented with abducens nerve palsy and the formation of granulation tissue in the lumbar subdural space, and was successfully treated with rifampicin.…”