Gram negative meningitis resulting from rupture of a spinal epidural abscess into the subarachnoid space.

Although a frequent and extensively described cause of meningitis in neonates, grain-negative meningitis is unusual in adults. Most of the cases reported are secondary to trauma or surgery. Spontaneous cases are rare and almost always have a primary tocus of infection elsewhere Which needs to be explored. We report the case of a young woman with gram—negative meningitis secondary to rupture of a spinal epidural abscess into the subarachnoid space.