A rare case of fatal meningoencephalitis with septic thromboembolism due to otitis media: a forensic case and review of literature

Description

Meningitis is an inflammatory syndrome involving the meninges, and it manifests with headache and stiff neck. On the contrary, encephalitis refers to the inflammation of the brain parenchyma. The causative pathogens can be manifold though, except for immunocompromised patients; in literature, there are no cases of meningoencephalitis caused by bacteria usually present in the bowel.

We report the case of a 40-year-old man. Following an earache, the man went to the hospital. In anamnesis, the man reported a chronic otitis media for many years, and clinicians, noting auricular bleeding, advised local antibiotic treatment. The next day, he had fever, treated with paracetamol. After 3 days, following the worsening of the clinical condition, the man returned to the hospital where physicians detected temporal and spatial disorientation, neck stiffness and fever of 39.5°C. Despite medical therapy, the man died after a few hours. An autopsy was performed. It showed an abscess...

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