RT Journal Article
SR Electronic
T1 High-dose amoxicillin should be included in the empirical treatment of suspected meningitis in patients at risk of HIV infection
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0420114057
DO 10.1136/bcr.04.2011.4057
VO 2011
A1 Ben Edward Michael Talbot
A1 Daniel Webster
A1 Martin Fisher
A1 Eliza Alexander
YR 2011
UL http://casereports.bmj.com/content/2011/bcr.04.2011.4057.abstract
AB The authors report on a case of Listeria rhomboencepahlitis in a previously undiagnosed HIV positive man. This case is of interest as the incidence of Listeria has increased dramatically in recent years and so may increase in the HIV-infected population. The organism is inherently resistant to cephalosporin antibiotics, empirically employed in the treatment of central nervous system infections and thus highlights the need to include amoxicillin in meningitis treatment regimes in patients at risk of HIV infection as well as the older and those known to be immuno-compromised.