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Chemical Meningitis


Presentation

  • 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]
  • 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]
  • Another case presented with initial symptoms and signs of meningitis, with no change in the size of the lesion after the second episode of chemical meningitis.[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]
Neck Stiffness
  • 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]
  • Headache and neck stiffness gradually improved over the next six days with conservative treatment with methylprednisolone and antibiotics.[synapse.koreamed.org]

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]
  • Dose reduction and appropriate symptomatic treatment permitted the administration of 15 injections of liposomal cytarabine combined with dabrafenib.[ncbi.nlm.nih.gov]
  • 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]
  • Empiric treatment with broad-spectrum antibiotics should be initiated until CSF culture results are available.[ncbi.nlm.nih.gov]
  • A single antibiotic agent was used for the most of the treatment period in 8 patients with bacterial meningitis and in 3 patients with IC meningitis; the remainder received combination treatment.[cid.oxfordjournals.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]
  • Viral meningitis seems to carry a better prognosis. However, mortality following HSV infection of the central nervous system is 15%.[labtestsonline.org.uk]

Etiology

  • Most cases of iatrogenic meningitis have a bacterial etiology; however, there are a few reports of chemical meningitis associated with intrathecal administration of bupivacaine.[e-jnc.org]
  • 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]
  • Staphylococcus aureus . in pure or mixed culture, was the most common etiologic organism found (8 of 20 patients). Table 2 Microbiology of bacterial meningitis in 20 patients. Table 2 Microbiology of bacterial meningitis in 20 patients.[cid.oxfordjournals.org]

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]
  • 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]
  • "Epidemiology, etiology, pathogenesis, and diagnosis of recurrent bacterial meningitis" . Clinical Microbiology Reviews . 21 (3): 519–37. doi : 10.1128/CMR.00009-08 . PMC 2493086 . PMID 18625686 . Shalabi M, Whitley RJ (November 2006).[en.wikipedia.org]
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]
  • It is a diagnosis of exclusion and its pathophysiological mechanism remains unclear.[nature.com]

Prevention

  • 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 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]
  • 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]
  • […] to Know (Centers for Disease Control and Prevention) [ Read More ][icdlist.com]
  • Prevention Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette. These steps can help prevent meningitis: Wash your hands.[mayoclinic.org]

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