Kuo C.-C.JANN-YUAN WANGJUNG-YIEN CHIENYA-FANG CHENVIN-CENT WUHwang J.-J.HWANG, JUEY-JENJUEY-JENHWANG2020-08-122020-08-1220100732-8893https://www.scopus.com/inward/record.uri?eid=2-s2.0-71049195377&doi=10.1016%2fj.diagmicrobio.2009.03.024&partnerID=40&md5=555b205806ee2a534a4ac559e9c02764https://scholars.lib.ntu.edu.tw/handle/123456789/511650Nosocomial meningitis is rare, and routine cerebrospinal fluid study is seldom recommended for hospitalized patients with fever and acute delirium. We present a case of Enterobacter cloacae meningitis complicated with a nontraumatic pneumocephalus. Maintaining a high index of suspicion of nosocomial meningitis is crucial in patients with acute delirium and multiple underlying comorbid conditions. ? 2010 Elsevier Inc. All rights reserved.[SDGs]SDG3amikacin; C reactive protein; carbapenem; cefepime; cefotaxime; imipenem; lactate dehydrogenase; meropenem; piperacillin plus tazobactam; vancomycin; aged; antibiotic resistance; antibiotic sensitivity; article; artificial ventilation; bacterial meningitis; brain hemorrhage; case report; cerebrospinal fluid examination; chronic respiratory failure; comorbidity; computer assisted tomography; delirium; diabetes mellitus; diabetic nephropathy; Enterobacter cloacae; female; hemodialysis; hospital infection; human; hyperbilirubinemia; hypertension; hypothermia; leukocytosis; lung infiltrate; minimum inhibitory concentration; multiple organ failure; pneumocephalus; priority journal; thorax radiography; unconsciousness; ventilator associated pneumoniajournal article10.1016/j.diagmicrobio.2009.03.024194424742-s2.0-71049195377