11/55. life-threatening meningitis resulting from transrectal prostate biopsy.After antibiotic prophylaxis with metronidazole and levofloxacin, a transrectal sextant biopsy was performed under the guide of transrectal ultrasonography (TRUS) for a 75-year-old suspicious patient with prostate adenocarcinoma. Although antibiotics were also given after this procedure, the patient still developed fever, anxious, agrypnia and headache. blood cultures remained negative. Lumbar puncture was performed and was consistent with escherichia coli bacterial meningitis.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
12/55. Amp C beta-lactamase-producing escherichia coli in neonatal meningitis: diagnostic and therapeutic challenge.Antibiotic resistance is a global health priority. Major defenses for gram-negative bacteria are beta-lactamase enzymes, which have co-evolved with the development and increasing utilization of new antibiotics. Bacteria harboring the plasmid-mediated AmpC enzymes are increasingly prevalent among adult patients, but have not previously been reported in neonates. Early-onset neonatal meningitis caused by an AmpC beta-lactamase-producing escherichia coli is described for the first time; the plasmid was identified as a transferable CMY-2 family beta-lactamase. Limited experience with newer antibiotics and pharmacokinetics in neonates presents a therapeutic challenge. Currently, there are no Clinical Laboratory Standards Institute (CLSI) recommendations for detecting AmpC nor is the optimal treatment for AmpC-producing organisms known. Thus, it is imperative that clinicians have a high index of suspicion when antimicrobial susceptibility patterns are inconsistent. Development of better microbiology screening tests to rapidly detect resistance is essential. Additionally, pharmacokinetic studies with newer antibiotics in neonates are warranted.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
13/55. Dissemination of strongyloides stercoralis as an immune restoration phenomenon in an hiv-1-infected man on antiretroviral therapy.We present a case of strongyloides stercoralis infection in an HIV-infected man, resulting in escherichia coli meningitis after initiation of antiretroviral therapy. Recent evidence from studies of strongyloides development supports the concept that strongyloides dissemination in this case is an example of an immune reconstitution inflammatory syndrome.- - - - - - - - - - ranking = 0.2keywords = meningitis (Clic here for more details about this article) |
14/55. Neonatal bacterial meningitis complicated with multiple brain abscesses and intraventricular rupture: report of one case.brain abscess is rarely encountered in neonates and carries a high morbidity and mortality. Here we report a premature infant who developed systemic escherichia coli (E. coli) infection resulting in multiple brain abscesses with intraventricular rupture at 3 months postnatal age. He was treated successfully with a combination of surgical and antimicrobial therapies. Related literature on brain abscess with special emphasis on intraventricular rupture is reviewed.- - - - - - - - - - ranking = 0.8keywords = meningitis (Clic here for more details about this article) |
15/55. scalp electrode associated neonatal escherichia coli meningitis--a case report.A case of escherichia coli meningitis in a newborn boy is described which seemed to be related to the use of a screwed top scalp electrode for perinatal monitoring. First a subcutaneous abscess developed at the place of the former electrode and the infant recovered well after surgical incision. 36 hour later the boy became acutely ill because of a purulent meningitis. From both the subcutaneous Abscess as the CSF identical E. coli (K1-strain) were cultured.- - - - - - - - - - ranking = 1.2keywords = meningitis (Clic here for more details about this article) |
16/55. Strongyloides hyperinfection in two patients with lymphoma, purulent meningitis, and sepsis.strongyloides stercoralis hyperinfection syndrome is a rare complication of strongyloidiasis that occurs in immunosuppressed patients. It is caused by increasing autoinfection of the host by the nematode, leading to serious superimposed enterobacterial sepsis. Once established, it has a high fatality rate. Two cases are reported of Strongyloides hyperinfection in patients with lymphoma who presented with purulent meningitis. Both were receiving combination chemotherapy that included high-dose corticosteroids, and neither was granulocytopenic at infectious onset. The patients had respiratory insufficiency that required mechanical ventilation and serious septic episodes. Both were treated with thiabendazole, and one survived with clearance of the larvae. These cases illustrate the possibility of strongyloidiasis hyperinfection as an underlying diagnosis of purulent meningitis and serious septic episodes in lymphomatous patients. It may occur even without granulocytopenia.- - - - - - - - - - ranking = 1.2keywords = meningitis (Clic here for more details about this article) |
17/55. Candidal meningitis following bacterial meningitis.patients with bacterial meningitis and posttraumatic and/or postsurgical access to the CSF are at risk for superinfection with candida species. patients who are not improving on appropriate antimicrobial chemotherapy for bacterial meningitis or are deteriorating after initial improvement should have a CSF reexamination for candida superinfection.- - - - - - - - - - ranking = 2keywords = meningitis (Clic here for more details about this article) |
18/55. Fungal pseudomeningitis superimposed on escherichia coli meningitis.Pseudomeningitis is the demonstration of microorganisms from the cerebrospinal fluid by stain or culture in a patient with symptoms suggesting meningitis. This is a report of fungal pseudomeningitis superimposed on a case of nosocomial escherichia coli meningitis resulting from a neurosurgical procedure. critical care personnel need to be aware of the possibility of pseudomeningitis with or without associated meningitis in the appropriate setting.- - - - - - - - - - ranking = 2.8keywords = meningitis (Clic here for more details about this article) |
19/55. Neonatal brain abscess with intracystic hemorrhage--case report.The authors describe the case of an 11-day-old boy with high fever and signs of meningeal irritation in whom computed tomography demonstrated a large brain abscess with intracystic hemorrhage in the right temporal lobe. cerebrospinal fluid analysis indicated purulent meningitis caused by escherichia coli. After aspiration of the abscess contents, the entire ventricular system gradually enlarged. Despite repeated ventricular drainage and ventriculoperitoneal shunting, the lateral horn of the left lateral ventricle remained dilated. The isolation of the lateral ventricle may have resulted from septation due to the inflammatory reaction. This fluid was also shunted to the peritoneal cavity.- - - - - - - - - - ranking = 0.2keywords = meningitis (Clic here for more details about this article) |
20/55. Success of ceftizoxime in E. coli ventriculitis.The results of this single case report suggest that ceftizoxime may be an excellent antibiotic in the therapy of E. coli meningitis with ventriculitis.- - - - - - - - - - ranking = 0.2keywords = meningitis (Clic here for more details about this article) |
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