Acute Embolic Infarcts from Alcaligenes Faecalis Meningitis: A Case Report

Abstract

A 44 y/o gentleman with past medical history of possible seizures not on any anti-epileptics came to the Emergency Department with headache, fever and confusion for the past two to three days. CT head did not reveal any acute intracranial process. The patient’s labs showed leukocytosis with count of 20.6 and left shift. Soon after presentation, he had a witnessed generalized tonic, clonic seizure lasting 30 seconds. The patient was intubated for airway protection, placed on ASV ventilation mode and sedated with propofol. The patient was loaded with 1 gm of Levatiracetam and admitted to the Neuro-ICU service for further management.