rss
BMJ Case Reports 2011; doi:10.1136/bcr.02.2011.3830
  • Rare disease

How a bowel tumour led to meningitis

  1. Varun Nelatur2
  1. 1Department of Geriatrics, Oxford Radcliffe Trust, Slough, UK
  2. 2Department of Acute Medicine, Oxford Radcliffe Trust, Oxford, UK
  1. Correspondence to Dr Toby Edward Shipway, toby.shipway{at}gmail.com

Summary

This report summarises a case history in which a 75-year-old man was admitted with bacterial meningitis caused by Streptococcus bovis. A subsequent abdominal investigation in the light of the known association between invasive S bovis infection and colonic cancer confirmed the suspicion of a cancer located to the rectum. The patient died from Clostridium difficile enterocolitis with sepsis and multi-organ failure. This is a highly relevant and interesting case presentation, which besides providing a learning point that patients with S bovis infection should undergo investigation for abdominal cancer, describes a ‘best practice’ pattern in which clinicians followed up on a known association between a rare clinical presentation and underlying disease.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article