We reviewed the records of 70 consecutive adult patients with meningitis after a neurosurgical procedure, to determine the characteristics that might help to distinguish a sterile postoperative chemical meningitis from bacterial infection. The spinal fluid profiles in bacterial and chemical meningitis are similar. The exceptions are that a spinal fluid white blood cell count > 7500/microL (7500...

Methicillin-resistant staphylococcus aureus (MRSA) meningitis are rare. They are mostly considered as a nosocomial complication of a neurosurgical procedure or a contiguous infection. In this paper we discuss the case of an immunocompetent patient with methicillin-resistant staphylococcus aureus meningitis associated with bacteremia, spondylodiscitis of the lumbar spine and psoas abscess. The p...

Prior to the availability of effective therapy, tubercular meningitis was invariably fatal with most of the deaths occurring within weeks of initial presentation. Although antimicrobial agents have improved the survival rates, serious sequelae are still common. With the advent of CT scan, hydrocephalus can be diagnosed early and neurosurgical intervention can improve the outcome in such subject...

INTRODUCTION Stenotrophomonas maltophilia is an important cause of hospital acquired infection particularly among severely debilitated and immunosuppressed patients. CASE PRESENTATION We report a case of S. maltophilia meningitis in a preterm baby boy after a neurosurgical procedure, successfully treated with trimethoprim-sulfamethoxazole and ciprofloxacin. CONCLUSION This organism should b...

Introduction: Brain glioma is the most common and lethal primary malignant intracranial tumor. Nonetheless, gross tumor resection remains successful treatment modality, which may prolong progression free survival of these patients. However, excessive surgery brings a danger neurological, regional systemic complications, be diminished/ avoided by better pre- intra-operative care modern neurosurg...

BACKGROUND Streptococcus acidominimus, which belongs to the viridans streptococci group, is rarely considered pathogenic in humans. However, over the past 10 years, this bacterium has been reported to cause serious infections in humans, particularly among the critically ill. This article is the first case report of pyogenic ventriculitis (PV) and meningitis caused by S. acidominimus in North Am...

Candidal meningitis is a rare disease that is seen most frequently in neonates, neurosurgical patients, and the immunocompromised host. We describe a series of 12 children with cancer (all of whom had leukemia) who had candidal meningitis develop. Univariate analysis revealed that duration of fever, antibiotic therapy, and profound neutropenia and use of total parenteral nutrition were signific...

Chemical meningitis is a medical condition characterised by sterile meningitis that usually develops in certain patients after neurosurgical procedures. Its acute clinical course and standard laboratory findings are indistinguishable from those of bacterial meningitis. We hereby describe a case who presented with clinico-investigatory profile suggestive of acute bacterial meningitis. Patient sh...

BACKGROUND Acinetobacter baumannii (A. baumannii), a gram-negative bacterium, has now become an important hospital pathogen, which causes various serious nosocomial infections worldwide. Bacterial meningitis is a common complication after neurosurgical operation, and the percentage of A. baumannii meningitis is growing, especially the one resisting multiple drugs. METHOD We retrospectively re...