Coincident meningitis and intracerebral hemorrhage in an unresponsive adult

Intracerebral hemorrhage is an unusual complication of central nervous system infection. A 54-year-old man presented to our emergency department unresponsive following an acute intracerebral hemorrhage that likely occurred as a complication of pneumococcal meningitis. Although the simultaneous presence of meningitis and intracerebral hemorrhage is rare, prompt identification and treatment of each is essential to maximize the outcome. The intracranial complications and various presentations of bacterial meningitis in adults are reviewed.