Swimmer’s meningitis and epilepsy linked to rare bacterium: case study

Metagenomic sequencing was the key to identifying the culprit, neurologists say.

A summertime swim has resulted in purulent meningitis and secondary epilepsy for one middle-aged man, with doctors tracing the CNS infection to a recently discovered microbe.

The patient, aged in his late 50s, presented to ED in Lianyungang, China after experiencing a five-minute-long seizure with twitching on his right side and sudden loss of consciousness.

After the seizure, he had a headache, dizziness, apparent rotation, cough, nausea and vomiting, as well as a low fever but no weight loss.

“He could not walk stably and easily toppled to the right when standing,” the case author doctors wrote in the International Journal of Infectious Diseases.