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Chemical Meningitis


Presentation

  • CLINICAL PRESENTATION: A case of a patient with a lumbar-gallbladder shunt who developed chemical meningitis from reflux of bile into the CSF space is presented. The patient presented with generalized seizures.[ncbi.nlm.nih.gov]
  • We describe an unusual presentation of RCC in which the patient presented with a clinical picture of chemical meningitis consisting of meningeal irritation, inflammatory cerebrospinal fluid profile, and enhancing pituitary and hypothalamic lesions, in[ncbi.nlm.nih.gov]
  • Spontaneous rupture of the cyst may present with or without meningitis, depending upon the cholesterol contents of cystic fluid of tumor. A decrease in the size of cyst may or may not be noted.[ncbi.nlm.nih.gov]
  • : Emergency physicians should consider intrathecal entry and pneumocephalus in patients who present with a headache after an epidural intervention.[ncbi.nlm.nih.gov]
  • Our case presents an interesting diagnostic dilemma where drug-induced (IVIG) aseptic meningitis mimics bacterial meningitis clinically and on CSF analysis.[ncbi.nlm.nih.gov]
Desquamating Rash
Neck Stiffness
  • Abstract A 41-yr-old man was admitted with acute headache, neck stiffness, and febrile sensation. Cerebrospinal fluid examination showed pleocytosis, an increased protein level and, a decreased glucose concentration.[ncbi.nlm.nih.gov]
  • In this paper, we describe a 47-year-old female patient with a history of myasthenia gravis who presented with a headache, neck pain, and neck stiffness while undergoing IVIG infusions for a myasthenia crisis.[ncbi.nlm.nih.gov]
  • Another important symptom to take note is neck stiffness. This is also called as nuchal rigidity. This symptom is characterized by muscle spasms in the neck area. The patient will also have a difficulty moving the neck forward.[tandurust.com]
  • Presentation is usually with fever, myalgia and arthralgia and signs and symptoms of meningism, including neck-stiffness, nausea and vomiting, photophobia, although these are variable 1,2 . Etiology The condition by definition is idiopathic.[radiopaedia.org]
  • If the cyst ruptures and spill its contents, it can cause repeated bouts of severe meningitis, with symptoms including fever, headache, and neck stiffness.[ansdocs.com]

Workup

  • Complete septic workup failed to identify an organism in either patient. Both patients responded to treatment with corticosteroid medication used to modulate the inflammatory response induced by the coil implants.[uthscsa.influuent.utsystem.edu]

Treatment

  • CLINICAL PRESENTATION: Two previously healthy patients underwent endovascular treatment for large ( 2 cm) cerebral aneurysms.[uthscsa.influuent.utsystem.edu]
  • Treatment for Meningitis Tips 1. Acute bacterial meningitis requires prompt treatment with intravenous antibiotics to ensure recovery and reduce the risk of complications. 2.[lfpro.bztronics.com]
  • Dose reduction and appropriate symptomatic treatment permitted the administration of 15 injections of liposomal cytarabine combined with dabrafenib.[ncbi.nlm.nih.gov]
  • Empiric treatment with broad-spectrum antibiotics should be initiated until CSF culture results are available. Copyright 2016 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • Treatment Options Early diagnosis of any infection is critical. Meningitis may lead to permanent neurologic damage or death if untreated. Chemical meningitis can be treated with a variety of antibiotics.[vista.engines4ed.org]

Prognosis

  • Treatment and prognosis Although each attack is self limited, given the strong association with HSV-2 therapy and prophylaxis with acyclovir or valacyclovir has been proposed 2 .[radiopaedia.org]
  • Although complete surgical excision improved the prognosis, based on previous studies suggesting recurrence between 4 months and 14 years (Preece et al. 2006 ), this case warranted long-term clinical and radiological follow-up.[springerplus.springeropen.com]
  • Prognosis Meningitis kills more UK children under the age of 5 than any other infectious disease. [ 2 ] Prognosis depends on the pathogen, the patient's age and condition and the severity of acute illness.[patient.info]
  • Other treatments will include: Fluids through a vein (IV) Medicines to treat symptoms, such as brain swelling, shock , and seizures Outlook (Prognosis) Early diagnosis and treatment of bacterial meningitis is essential to prevent permanent neurological[mountsinai.org]
  • The prognosis is excellent, typically with complete reversal of symptoms and no evidence of residual effects. There have been no documented fatalities to date.[mdmag.com]

Etiology

  • The etiology of postdural puncture meningitis is very debatable.[mjdrdypu.org]
  • Journal of Meningitis focuses on causative agents, pathophysiology, etiology, preventive measures, treatment, management of meningitis, etc.[omicsonline.org]
  • Etiology The condition by definition is idiopathic. See the discussion on terminology above.[radiopaedia.org]
  • All cultures, including CSF cultures, must be negative for any bacterial, viral, or fungal etiologies. Imaging studies are usually unnecessary.[mdmag.com]

Epidemiology

  • Infection Control & Hospital Epidemiology ISSN: 0899-823X EISSN: 1559-6834 URL: /core/journals/infection-control-and-hospital-epidemiology Unfortunately you do not have access to this content, please use the Get access link below for information on how[journals.cambridge.org]
  • School-based clusters of meningococcal disease in the United States: descriptive epidemiology and a case-control analysis. JAMA 1997;277:389-95. Brooks R, Woods CW, Benjamin, DK Jr, Rosenstein NE.[imic.or.jp]
  • (日本神経学会) f) 参 照 1) 細菌性髄膜炎診療ガイドライン2014 (日本神経学会) 2) 髄膜炎菌性髄膜炎とは (NIID 国立感染症研究所) 3) Meningococcal Disease (CDC) meningitis belt (CDC) 4) Meningococcal meningitis (WHO) 5) MENINGOCOCCAL DISEASE: HISTORY, EPIDEMIOLOGY, PATHOGENESIS,CLINICAL MANIFESTATIONS,[bdj.co.jp]
  • Encephalitis and aseptic meningitis, Olmsted County, Minnesota, 1950-1981, I: epidemiology. Ann Neurol. 1984 Sep;16(3):283-94. Bilukha OO, Rosenstein N.[lifeextension.com]
  • Epidemiology Meningitis occurs in people of all age groups but infants, young children and the elderly are more predisposed to meningitis. [ 3 ] Viral meningitis is the most common cause.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • One complication of the lumbar-gallbladder shunt is discussed as well as its pathophysiologic theory and management.[ncbi.nlm.nih.gov]
  • Provides in-depth coverage of CSF examination and analysis, CSF physiology and pathophysiology, approach to diagnosis, and future directions in CSF analysis.[books.google.com]
  • 14 What exactly is the pathophysiology of bacterial meningitis? Invasionand Response: Bacterial meningitis usually begins with nasopharyngeal colonization by an organism, followed by invasion and bacteremia.[healthtap.com]
  • . , intern doctor at Dhulikhel hospital Published on Dec 13, 2016 pathophysiology and csf analysis in simpler form 1. Meningitis Group- 5 Tutor:Dr.Rajiv Shrestha 2.[slideshare.net]
  • Pathophysiology of meningococcal meningitis and septicaemia. Arch Dis Child. 2003 Jul;88(7):601-7. Pathan N, Sandiford C, et al. Characterization of a myocardial depressant factor in meningococcal septicemia. Crit Care Med. 2002 Oct;30(10):2191-8.[lifeextension.com]

Prevention

  • To prevent the chemical meningitis risk, dexametasone sodium phosphate 8 mg/day was administered by intravenous injection. Our patients suffered most probably from chemical meningitis .[encyclopedia2.thefreedictionary.com]
  • The single best prevention method is proper hand hygiene. Wash your hands often. Use alcohol-based gels only when your hands are not visibly soiled. Another prevention method is proper cleaning of surfaces.[lfpro.bztronics.com]
  • […] to Know (Centers for Disease Control and Prevention) [ Read More ][icdlist.com]
  • To prevent postoperative chemical meningitis, several authors recommend puncture of the cysts using a syringe and aspiration of the contents before incision (Wang et al. 2011 ).[springerplus.springeropen.com]
  • Prevention Certain vaccines can help prevent some types of bacterial meningitis: Haemophilus vaccine ( HiB vaccine ) given to children helps Pneumococcal vaccine is given to children and adults Meningococcal vaccines is given to children and adults ;[mountsinai.org]

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