Autor: |
Kurup, Asok, Tee, Wen Sim Nancy, Loo, Liat Hui, Lin, Raymond |
Zdroj: |
Journal of Clinical Microbiology; February 2001, Vol. 39 Issue: 2 p820-822, 3p |
Abstrakt: |
ABSTRACTA 66-year-old man with four indwelling ventriculoperitoneal shunts for multiloculated hydrocephalus from a complicated case of meningitis a year before developed shunt infection based on a syndrome of fever, drowsiness, and cerebrospinal fluid neutrophil pleocytosis in the background of repeated surgical manipulation to relieve successive shunt blockages. The cerebrospinal fluid culture, which yielded a motile Enterococcusspecies, was believed to originate from the gut. This isolate was lost in storage and could not be characterized further. The patient improved with vancomycin and high-dose ampicillin therapy. He relapsed a month later withEnterococcus gallinarumshunt infection, which responded to high-dose ampicillin and gentamicin therapy. This is probably the first case report of motile Enterococcusinfection of the central nervous system. |
Databáze: |
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