Presentation
Case Presentation A 16-year-old girl presented to the emergency department due to complaints of fever, severe headache. [frontiersin.org]
Case presentation A 9-month-old boy was admitted to our hospital due to “fever with drowsiness and vomiting for 2 days.” [tp.amegroups.com]
Respiratoric
- Nasal Congestion
The patient had no recent cough, nasal congestion, runny nose, external ear canal discharge, vomiting, diarrhea, bloody stools or crying when urinating. The patient was born at full term via vaginal delivery, with a birth weight of 3.2 kg. [tp.amegroups.com]
Psychiatrical
- Suggestibility
To further rule out structural abnormalities, the patient underwent spinal MRI, which showed a dermal sinus at L5 that was connected to the spinal cavity, suggesting infection in the sacral spinal cavity (Figure 1). [tp.amegroups.com]
Workup
Microbiology
- Actinomyces Israelii
Porphyromonas gingivalis: 260 reads; Prevotella enoeca: 55 reads; Campylobacter rectus: 18 reads; Fusobacterium uncleatum: 10 reads; Actinomyces israelii: 4 reads; (B) Anaerobic bacteria found by mNGS second times. [frontiersin.org]
- Actinomyces Bovis
bovis treated with penicillin and streptomycin.J Neurol Neurosurg Psychiat. 1951; 14: 134 Scopus (6) PubMed Crossref Google Scholar Intile JA Richert JH Cervicofacial actinomycosis complicated by meningitis. in: Bronner M Bronner M Actinomycosis. [amjmed.com]
Treatment
[…] to receive anti-infective treatment after surgery. [tp.amegroups.com]
Microbiology and treatment of cerebrospinal fluid shunt infections in children. Adams DJ, Rajnik M. Adams DJ, et al. Curr Infect Dis Rep. 2014 Oct;16(10):427. doi: 10.1007/s11908-014-0427-8. Curr Infect Dis Rep. 2014. [pubmed.ncbi.nlm.nih.gov]
Emergence of resistance to multiple beta-lactams in Enterobacter cloacae during treatment for neonatal meningitis with cefotaxim. Pediatr Infect Dis J 1990; 9: 509-512. Tolitzis P, Blumer JL. [annalesumng.org]
Despite treatment, the mortality rate of patients with anaerobic meningitis may be as high as 30.8% (3). Reliable laboratory tests performed early in the disease course are essential for the diagnosis and treatment of anaerobic meningitis. [frontiersin.org]
Alteration of cerebrospinal fluid findings by partial treatment of bacterial meningitis.J Pediatr. 1973; 83: 220 Scopus (70) PubMed Abstract Full Text PDF Google Scholar Jarris CW Saxena KM Does prior antibiotic treatment hamper the diagnosis of acute [amjmed.com]
Prognosis
Moreover, the prognosis of the patients was very poor (21, 22), and only a few of the cases reported complete recovery of the patient (4, 30). However, the prognosis was poor compare to bacterial meningitis (31). [frontiersin.org]
This condition leads to the misdiagnosis and mistreatment of anaerobic meningitis, affects the prognosis and leads to a high fatality and disability rate. Molecular diagnostic technology provides a better way to diagnose encephalitis and meningitis. [tp.amegroups.com]
Etiology
Beyond viruses: clinical profiles and etiologies associated with encephalitis. Clin Infect Dis. (2006) 43:1565–77. doi: 10.1086/509330 PubMed Abstract | CrossRef Full Text | Google Scholar 20. [frontiersin.org]
Epidemiology
Post-surgical enterococcal meningitis: clinical and epidemiological study of 20 cases. Scand J Infect Dis. (2006) 38:584–8. doi: 10.1080/00365540600606416 PubMed Abstract | CrossRef Full Text | Google Scholar 4. [frontiersin.org]
Epidemiology and treatment of the commonest form of listeriosis: meningitis and bacteraemia. Infez Med. 2017; 3: 210-6. https://www.infezmed.it/media/journal/Vol_25_3_2017_2.pdf. [ Links ] 56.- Tuazon C, Shamsuddin D, Miller H. [scielo.conicyt.cl]
Pathophysiology
[…] meningitis.Medicine (Baltimore). 1976; 55: 341 Scopus (135) PubMed Crossref Google Scholar Swartz MN Anaerobic bacteria in central nervous system infections.J Fla Med Assoc. 1970; 57: 19 PubMed Google Scholar Feigin RD Dodge PR Bacterial meningitis: Newer concepts of pathophysiology [amjmed.com]
Prevention
Iatrogenic meningitis after lumbar puncture: a preventable health hazard. J Hosp Infect 2004; 56(2):119–24. Pei-Ching Lin, Nan-Chang Chiu, Wen-Chen Li et al. Characteristics of nosocomial bacterial meningitis in children. [annalesumng.org]
After birth, he received vaccinations to prevent hepatitis B, tuberculosis, diphtheria pertussis tetanus (DPT), polio, meningitis and measles. [tp.amegroups.com]
Listeriosis in pregnancy: diagnosis, treatment, and prevention. Rev Obstet Gynecol 2008; 1 (4): 179-85. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2621056/pdf/RIOG001004_0179.pdf [ Links ] 25.- Vélez-Leal J L, Dávila-Ramírez F. [scielo.conicyt.cl]