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Ann Thorac Surg 2002;73:1294-1296
© 2002 The Society of Thoracic Surgeons

Case report

Spontaneous esophageal perforation presenting as meningitis

Carlo C. Jurani, MD*a, Gerald L. Early, MDb, Shauna R. Roberts, MDb

a Department of General Surgery, University of Kansas, Kansas City, Kansas, USA
b Department of Cardiothoracic Surgery, Genesis Heart Institute, Davenport, Iowa, USA

Accepted for publication August 17, 2001.

* Address reprint requests to Dr Jurani, Department of General Surgery, University of Kansas, 4002 Murphy Administration Building, 3901 Rainbow Blvd, Kansas City, KS 66160-7119 USA

This report describes a unique case of spontaneous esophageal perforation (Boerhaave’s syndrome) presenting as meningitis. After a delay in diagnosis (16 days), the patient was successfully treated with debridement, primary closure, and drainage. Although rare, central nervous system infections have been reported in association with esophageal perforation caused by instrumentation, trauma, and malignancy. We report this case of spontaneous esophageal perforation giving rise to meningitis.






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