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. 2020 Jan 6;20:15. doi: 10.1186/s12879-019-4753-1

Table 2.

Clinical Characteristics of Neutropenia-Related Bacillus cereus Meningitis

Symptoms at Onset
Case Year Age Underlying Diseases WBC Count at Onset Fever Headache Vomiting Diarrhea Abdominal Pain Neurological Abnormalities CNS Disease Treatment Outcome Reference
1 1973 63 AML 400a + Coma Brain abscess GM, OXA, CBC Dead 5
2 1981 19 AML <100 + Meningitis GM, PCG Dead 6
3 1988 67 MDS/AML 100a + + + Meningoencephalitis/SAH GM, LM, PIPC Dead 7
4 1989 3 ALL 20 + Lethargy Brain abscess CP, VCM, GM, RFP Alive 8
5 1995 26 AML 20 + Visual disturbance Meningoencephalitis/SAH CAZ Dead 9
6 1997 64 AML 300 + + + Meningoencephalitis/SAH PIPC, GM, CPZ, CTX, ABPC Dead 10
7 1997 20 ALL 0 + + + + Speech disturbance, Sensory disturbance Cerebral infarction (basal ganglia) Dead 11
8 1999 13 ALL 0 + + Meningoencephalitis/hydrocephalus Alive, Severe sequelae 11
9 1999 15 ALL 0 + + Meningoencephalitis Dead 11
10 1999 30 AML <100 + + Delirium, hyperventilation Necrotic meningoencephalitis CAZ, AMK Dead 12
11 1999 43 AML <100 + + + + + Delirium, decerebrate rigidity Meningoencephalitis CAZ, AMK → VCM, GM & others Dead 12
12 1999 14 ALL <100 + Delirium, epilepsy, coma Meningoencephalitis CAZ, AMK & others Dead 12
13 2003 16 AA 90 + + Nuchal rigidity, epilepsy, consciousness disturbance Meningoencephalitis CAZ, IPM/CS Dead 13
14 2005 19 HD 0 + Confusion, epilepsy, hemiparesis Meningoencephalitis ABPC, AMK, CPFX, TEIC, CLDM Alive 14
Our case 54 AML <100 + + + disorientation, slurred speech, and confusion Meningoencephalitis/hydrocephalus brain abscess MEPM, LZD, VCM Alive

adenotes the number of neutrophils

Abbreviations: AA Aplastic anemia, ABPC Ampicillin, ALL Acute lymphoblastic leukemia, AMK Amikacin, AML Acute myelogenous leukemia, CAZ ceftazidime, CBC, carbenicillin, CLDM Clindamycin, CNS Central nervous system, CP Chloramphenicol, CPFX Ciprofloxacin, CPZ Cefoperazone, CTX Cefotaxime, GM Gentamicin, HD Hodgkin disease, IPM/CS Imipenem/cilastatin, LM Lincomycin, LZD Linezolid, MDS Myelodysplastic syndrome, MEPM Meropenem, OXA Oxacillin, PCG Penicillin G, PIPC Piperacillin, RFP Rifampin, VCM Vancomycin