27 cases of Actinobacillus ureae infections including 14 cases of meningitis have been reported. We describe 1 case of Actinobacillus ureae meningitis in a 75-y-old patient. Risk factors, clinical outcome and treatment of Actinobacillus ureae infections are discussed. Actinobacillus ureae may behave as an opportunistic pathogen causing severe infections in immunocompromised patients.