Listeria monocytogenes meningitis appears to have increased in incidence. Although most reported cases of listeriosis involve the central nervous system, brain computed tomography is usually normal. Hydrocephalus is a common complication of tuberculous meningitis, which has a high prevalence in Taiwan. However, patients with L. monocytogenes meningitis rarely develop the complication of symptom...

Background: Cerebrospinal fluid analysis is a very important tool in the diagnosis of bacterial meningitis in the new born. Bacterial meningitis is a potent cause of morbidity and mortality in the neonatal age group, with a very high incidence of neurological complications. Aim: To identify the bacterial pathogens isolated from the cerebrospinal fluids of neonates at the University of Port Harc...

In a study of 21 patients with disease of the central nervous system IgA, which is normally absent, could be detected in the cerebrospinal fluid in the presence of meningitis of bacterial or fungal origin: the concentration of IgA in the cerebrospinal fluid could not, however, be correlated with serum levels. A reaction of non-identity has been demonstrated between serum and cerebrospinal fluid...

Objective: To analyze the usefulness of determining the cerebrospinal fluid(CSF) levels of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β) and interleukin-6(IL-6)for the early diagnosis and evaluation of the prognosis of neonatal meningitis. Method: We studied 54 newborn that underwent lumbar puncture.Thirty patients had meningitis and 24 were the control group.CSF and sera were obtained a...

Background Objective: To evaluate the utility of specific cut-off values for C- reactive protein (CRP) and immature-to-total neutrophil ratio (I/T) as screening tests for meningitis in culture negative early onset sepsis (EOS). Materials and Methods Retrospective chart review of 97 newborns with culture negative sepsis who had lumbar puncture performed as part of the sepsis evaluation in a l...

We report Campylobacter fetus meningitis associated with endocarditis in a 75-year-old diabetic man after he consumed raw liver. C. fetus was isolated from blood samples and cerebrospinal fluid. Cure was obtained with combined intravenous imipenem-gentamicin for 4 weeks; no relapse occurred after 6 months of follow-up.

BACKGROUND Awareness about paradoxical reactions in tuberculous meningitis is crucial as a paradoxical reaction may lead to certain wrong conclusions (for example, an erroneous diagnosis, and a possibility of treatment failure, mycobacterial drug-resistance, drug toxicity, or presence of a malignancy). The present study was planned to evaluate the incidence and predictive factors of paradoxical...

Campylobacter fetus is a rare etiological agent of neonatal meningitis. However, it is a clinically significant bacterium because many cases of neonatal meningitis caused by C. fetus result in death or severe sequelaen. Recently, two new carbapenem antibiotics, meropenem (MEPM) and panipenem (PAPM), which possess relatively good ability to penetrate into the cerebrospinal fluid and a lower risk...

We aimed to evaluate the radiologic and clinical findings of patients with tuberculous meningitis encountered during a 4-year period, retrospectively. Sixteen patients with tuberculous meningitis were admitted to our hospital. The diagnosis was based on abnormal neurologic symptoms and signs, cerebrospinal fluid findings, negative bacteria culture, and abnormalities on brain-imaging studies. CT...