1/8. Neonatal escherichia coli meningitis: spinal adhesions as a late complication.We describe two boys who had severe spinal complications in adolescence after a favorable initial recovery from neonatal escherichia coli meningitis. Due to spinal granulomatous adhesions, one boy died after an attempted scoliosis operation (high cord lesion). The other showed severe progressive neurological deterioration with spinal and cerebellar symptoms.Conclusion The severe complication of chronic arachnoiditis with spinal adhesion may occur many years after neonatal acute bacterial meningitis.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
2/8. De novo development of presumed cavernomas following resolution of E. Coli subdural empyemas.Cavernomas fall within the group of angiographically occult lesions and may be found in up to 4 % of the population [1]. They may occur at any age, and with the advent of MRI incidental cavernomas are increasingly identified. The pathogenesis is uncertain. Familial cases are well recognised with a reported prevalence of 10-15 % [2-3]. The incidence of new lesions has been reported at 0.4 lesions per patient per year in cases with familial cavernomas [4]. Presumed cavernomas have been documented following radiation for malignancy [5-6], and stereotactic cerebral biopsy [7]. There have been no previously documented cases of de novo genesis of cavernomas following bacterial meningitis and subdural empyemas.- - - - - - - - - - ranking = 0.16666666666667keywords = meningitis (Clic here for more details about this article) |
3/8. Spontaneous escherichia coli meningitis in an adult.Spontaneous meningitis due to gram-negative bacilli (excluding Hemophilus influenzae) is an infrequent infection in adult patients. It usually occurs in patients with underlying immunosuppressive conditions. Most of the cases are due to escherichia coli and represent a complication of bacteraemia. The infection has a high mortality rate which may be as high as 90%, especially if associated with septicaemia. We report the case of a 53-y-old man with spontaneous, community-acquired escherichia coli meningitis who was admitted with an unusual presentation. Blood and urine cultures were negative.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
4/8. Severe strongyloidiasis complicated by meningitis and hydrocephalus in an HTLV-1 carrier with increased proviral load.We report a 47-year-old Japanese man who was a human T-cell leukemia virus type 1 (HTLV-1) carrier with strongyloidiasis, and who was born in an area endemic for both strongyloides stercoralis ( S. stercoralis) and HTLV-1. He presented with edema of both legs. Laboratory examination on admission revealed hypoalbuminemia, and S. stercoralis rhabditiform larvae were found by stool microscopy. Purulent meningitis, which was suspected to be due to disseminated strongyloidiasis, developed during the first and second treatment for S. stercoralis infection. After the meningitis was alleviated, hydrocephalus with gait disturbance developed, and these features were attenuated by a ventriculo-peritoneal shunt. Impaired immunity and increased HTLV-1 proviral load, with an increased titer of HTLV-1 antibody, were observed in this patient. These results suggest that HTLV-1 proviral load and/or antibody titer of HTLV-1 can be used for the identification of carriers who are at increased risk of developing severe strongyloidiasis among those patients who are infected with both S. stercoralis and HTLV-1.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
5/8. Recurrent escherichia coli meningitis associated with aspergillar sphenoidal sinusitis.Recurrent meningitis due to escherichia coli is an extremely rare infection in adult patients. Most cases have been complications of neurosurgery. We report on the case of a 43-y-old man with 4 recurrent spontaneous episodes of E. coli meningitis related to aspergillar sphenoidal sinusitis. Surgical treatment of sinusitis cured the patient.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
6/8. Cerebral white matter injury in the newborn following escherichia coli meningitis.MR findings from six newborns with escherichia coli (E. coli) meningitis are reported. Five of the six infants were infected with the K1 strain. All the infants displayed significant white matter injury on MR imaging. E. coli remains a serious cause of meningitis and MR imaging in this case series provides additional important information highlighting the vulnerability of the cerebral white matter in this condition in the newborn infant.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
7/8. Community-acquired escherichia coli meningitis in adult.We report a case of E. coli meningitis presented initially without nuchal rigidity. Despite intensive care treatment, CSF was not sterilized and the patient died at 17 days after his admission. patients with an unexplained altered sensorium with fever should undergo LP to evaluate for this rare entity and to direct early antimicrobial treatment which possesses efficacy for meningeal infection.- - - - - - - - - - ranking = 0.83333333333333keywords = meningitis (Clic here for more details about this article) |
8/8. Severe progressive late onset myelopathy and arachnoiditis following neonatal meningitis.This case series describes four children who had meningitis in the neonatal period. After a stable period of years, they developed a myelopathy caused by chronic arachnoiditis. The myelopathy was precipitated by a fall in two cases, and in two cases there was an acute deterioration after surgery. A history of neonatal meningitis should be taken into consideration before planning surgery or anaesthesia. Careful intra-operative positioning, immobilisation of the neck, and maintenance of blood pressure is important but may not prevent this complication.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |