Emerg Infect Dis. 2018 Dec;24(12):2378-2380. doi: 10.3201/eid2412.180375.
Community-acquired Enterobacteriaceae infection and culture-negative meningitis are rare and atypical subtypes of meningitis in adults. Of 37 patients who had atypical suppurative meningitis during 1993-2015 in Okinawa, Japan, 54.5% had strongyloidiasis, of which 9.1% cases were hyperinfections and 3.0% dissemination. Strongyloidiasis should be considered an underlying cause of atypical suppurative meningitis.
社区获得性肠杆菌科感染和培养阴性脑膜炎是成人中罕见且非典型的脑膜炎亚型。在日本冲绳，1993-2015 年间，37 名患有非典型化脓性脑膜炎的患者中，54.5%患有寄生虫性感染，其中 9.1%为重度感染，3.0%为播散性感染。寄生虫性感染应被视为非典型化脓性脑膜炎的潜在病因。
