Secondary mania associated with enterococcal meningitis in an elderly patient

Abstract

Primary mania is associated with bipolar disorder, whereas secondary mania may result from many etiologies, including metabolic, pharmacological and neurological causes. Strong evidence has shown that, in older adults, new onset mania is more likely associated with an underlying cause, suggesting that late-onset mania is often secondary [Bipolar Disord. 2004;6(5):343–67]. Cryptococcal meningitis has been reported to induce secondary mania [Gen Hosp Psychiatry. 2005;27(4):301–3]. Here, we present a 75-year-old female patient who developed mania as a symptom of enterococcal meningitis. To our knowledge, this is the first report describing secondary mania in a case of enterococcal meningitis.