Pseudomonas aeruginosa nosocomial meningitis following spinal anesthesia - still a significant treatment dilemma.

Autor: Kolovani, Entela, Ramosaço, Ergys, Xhumari, Artur, Vyshka, Gentian, Ranxha, Eris
Předmět:
Zdroj: Surgical Neurology International; 2022, Vol. 13, p1-5, 5p
Abstrakt: Background: Infections of central nervous system after spinal anesthesia nowadays are a rarity; however, their presence might be of concern. Case Description: We report the case of lateral ventricular empyema treated unsuccessfully with parenteral antibiotic therapy, with the clinical signs of a persisting meningitis. After several lumbar taps suggesting an infection, Pseudomonas aeruginosa was isolated and a brain magnetic resonance imaging find out the collection in the left horn of the lateral ventricle. An intrathecal/intraventricular antibiotic therapy with colistin proved highly effective combined with an extra ventricular drainage to deal with the hydrocephaly. Conclusion: Clinicians should take into account even uncommon infectious agents while facing the picture of a meningitis otherwise nonresponsive to empiric or standard therapy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index