Atlas of Infections in Neurosurgery and Spinal Surgery

Akhaddar, Ali

doi:10.1007/978-3-319-60086-4

Cited by 7 publications

(14 citation statements)

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“…Usually, in cases of psoas abscesses, Staphylococcus aureus is the identified pathogen, whereas enteric bacteria such as Streptococcus species (4.9%) and Escherichia coli (2.8%) [ 7 ] have also been inculpated. Mycobacterial psoas abscess constitutes a recognized complication of concomitant spondylodiscitis (Pott's disease) [ 8 ]. However, reports are only scarce in cases sans spinal tuberculosis, as in our patient.…”

Section: Discussionmentioning

confidence: 99%

Multiple Extrapulmonary Tuberculous Abscesses Developed Postpartum in a Non-HIV Patient Under Anti-tuberculosis Chemotherapy

Papadopoulou¹,

Rampiadou²,

Petsatodis³

et al. 2022

Cureus

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Although abscess formation constitutes a recognized complication of tuberculous lymphadenitis, the concomitant development of multiple tuberculous abscesses in the course of tuberculous lymphadenitis has rarely been described in the literature among HIV-negative patients under appropriate chemotherapy. Adherence and sensitivity to the administered anti-tuberculosis chemotherapy have to be verified in such patients. We report a case of deteriorating tuberculous lymphadenitis, presenting with the development of multiple extrapulmonary abscesses (cervical, psoas, and retroperitoneal) in an HIV-negative patient who had complied with appropriate anti-tuberculosis chemotherapy for four months. Mycobacterium tuberculosis was the identified pathogen in specimens from the abscesses. Continuation of anti-tuberculosis medications and concurrent administration of antibiotics, along with CT-guided percutaneous drainage of the psoas abscess, resulted in gradual resolution of the patient's lesions. Interestingly, our patient had recent childbirth, indicating a potential association between the immunomodulatory processes during the postpartum period and the development of the so-called paradoxical reaction. Awareness of such complications should be raised, as a timely recognition and subsequent therapeutical treatment are essential for a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

Multiple Extrapulmonary Tuberculous Abscesses Developed Postpartum in a Non-HIV Patient Under Anti-tuberculosis Chemotherapy

Papadopoulou¹,

Rampiadou²,

Petsatodis³

et al. 2022

Cureus

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“…e clinical features of these patients did not differ from those with SSI caused by other bacteria. [3] e most frequent symptoms at presentation were fever (five cases), altered awareness (four cases), and headache (three cases). Focal neurological deficits were observed in two patients.…”

Section: Discussionmentioning

confidence: 99%

“…Adequate drainage (if possible), early isolation of the pathogens, and control of the infection by antibiotic therapy guided by antimicrobial susceptibility testing are essential to prevent this potentially fatal condition. [2,3] In our review, all of the nine patients were on antibiotics. Four received treatment with regimens including ceftriaxone and/or ciprofloxacin, in combination with other antimicrobial agents in three patients.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2019

Surg Neurol Int

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Background: Cranial surgical site infections due to Salmonella species are rarely reported. Only eight cases of Salmonella enteritidis infection following intracranial surgery for brain tumor have been reported to date. We describe a unique case of both subgaleal and brain abscesses caused by S. enteritidis following craniotomy for a parafalcine giant cell glioblastoma multiforme. A literature review of the previously published cases is also provided.Case Description: A 36-year-old previously healthy man presented with a posterior parietal parafalcine giant cell glioblastoma multiforme. 5 weeks after craniotomy for tumor resection, the patient presented with worsening headache and painful swelling at the cranial operative site. Head computed tomography and magnetic resonance imaging scans revealed both scalp and brain abscesses in the previous surgical site. He was treated with aspiration of the subgaleal abscess and ciprofloxacin antibiotic therapy; he made a full recovery. Cultures of the aspirate identified S. enteritidis, although the primary site of infection was not detected.Conclusions: Although postoperative S. enteritidis infections are rare, the large numbers of patients with malignant brain tumors who require tumor resections and receive corticosteroids are at great risk. Adequate drainage (if possible), early isolation of the pathogens, and control of the infection by antibiotic therapy guided by antimicrobial susceptibility testing are vital components to prevent this potentially fatal condition.

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“…Primary PV, although extremely rare, occurs after direct hematogenous spread of bacteria to the choroid. PV is more often secondary to extension of meningitis, rupture of brain abscess, penetrating head injury or neurosurgery [1]. If not diagnosed and treated in time, it can lead to severe neurological sequelae or even death.…”

Section: Commentmentioning

confidence: 99%

“…High viscosity of the purulent deposits decreases water molecules mobility, which reduces ADC on DWI. Therefore intraventricular sediments showing diffusion restriction are highly suggestive of PV [1].…”

Section: Commentmentioning

confidence: 99%

Pyogenic Ventriculitis Caused by Listeria Monocytogenes

Hove

Reumont

2020

Journal of the Belgian Society of Radiology

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Computed tomography (CT) of the brain at the time of admission was normal, except for a large left frontal sequela. A few hours later, his condition deteriorated, with onset of generalized seizures and loss of consciousness. Meningitis was highly suspected and therefore, lumbar puncture was performed. Cerebrospinal fluid (CSF) analysis showed pleocytosis (2080 cells/mm³, 88% of polymorphs) and increased protein levels (4.36 g/L [0.1-0.45]), which confirmed the diagnosis of bacterial meningitis. Listeria monocytogenes was cultured from the CSF and blood samples, resulting in intravenous Amoxicillin treatment. Due to the lack of clinical improvement, brain magnetic resonance imaging (MRI) was performed and revealed hyperintense debris in the occipital horns on diffusionweighted images (DWI, Figure 1A) with reduced apparent diffusion coefficient (ADC, Figure 1B). These ventricular sediments were slightly hypointense on T2-weighted images (T2WI, Figure 2A) and on fluidattenuated inversion recovery (FLAIR, Figure 2B). MRI showed a bright spot in the subarachnoid space of the right parietal region on DWI (Figure 3B) appearing slightly hypointense on FLAIR (Figure 3A). There was no ependymal enhancement nor meningeal thickening on gadolinium enhanced T1-weighted images. Final diagnosis was pyogenic ventriculitis (PV) and meningitis.

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Atlas of Infections in Neurosurgery and Spinal Surgery

Cited by 7 publications

References 0 publications

Multiple Extrapulmonary Tuberculous Abscesses Developed Postpartum in a Non-HIV Patient Under Anti-tuberculosis Chemotherapy

Multiple Extrapulmonary Tuberculous Abscesses Developed Postpartum in a Non-HIV Patient Under Anti-tuberculosis Chemotherapy

Untitled

Pyogenic Ventriculitis Caused by Listeria Monocytogenes

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