Diagnostic Microbiology and Infectious Disease 2010-Jan
Nontraumatic pneumocephalus due to nosocomial Enterobacter cloacae infection.
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Nosocomial meningitis is rare, and routine cerebrospinal fluid study is seldom recommended for hospitalized patients with fever and acute delirium. We present a case of Enterobacter cloacae meningitis complicated with a nontraumatic pneumocephalus. Maintaining a high index of suspicion of nosocomial meningitis is crucial in patients with acute delirium and multiple underlying comorbid conditions.