Enteroviral meningitis in solid organ transplant recipients may present with prolonged symptoms, and rapid PCR testing can help avoid unnecessary treatments and tests.
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Does not support practice change for SOT meningitis; leaves open PCR utility pending prospective validation.
In both adults and children, enteroviruses are the most common cause of aseptic meningitis, and a brief and benign course is typical. We describe the first reported cases of enteroviral meningitis in Solid Organ Transplant (SOT) recipients and note a prolonged duration of symptoms. Further, our cases illustrate the utility of the rapid enterovirus Polymerase Chain Reaction (PCR) in avoiding unnecessary antibiotics and diagnostic studies.
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Smith JA Kaul (2013) studied this question.
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