CCS NOVEMBER.indd

Abstract Introduction: Escherichia coli meningitis was rarely reported in adult patients. Moreover it is very rare in an adult patient without diabetes mellitus or neurosurgical shunts. In adult patients, it carries a high mortality ranging from 27% to 90% with treatment, and 100% without treatment. Case report: We describe a 78 year old lady who presented with altered mental state and neck stiffness. Her cerebrospinal fl uid analysis was consistent with bacterial meningitis and she had E. coli bacteraemia. She was treated with ceftrioxon