We report the first case of extended-spectrum beta-lactamase producing E. coli community-acquired meningitis\r\ncomplicated with multiple aortic mycotic aneurysms. Because of the acute aneurysm expansion with possible\r\nimpending rupture on 2 abdominal CT scan, the patient underwent prompt vascular surgery and broad spectrum\r\nantibiotic therapy but he died of a hemorrhagic shock. Extended-spectrum beta-lactamase producing E. coli was\r\nidentified from both blood and cerebrospinal fluid culture before vascular treatment. The present case report does\r\nnot however change the guidelines of Gram negative bacteria meningitis in adults.
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