Evaluation of Posttraumatic Recürrent Bacterial Meningitis in Adults

Deveci, Özcan; Uysal, Cem; Varol, Sefer; Tekin, Recep; Bozkurt, Fatma; Bekçibaşı, Muhammed; Hoşoğlu, Salih

doi:10.5505/tjtes.2015.02651

Cited by 1 publication

(4 citation statements)

References 18 publications

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“…As these laboratory tests could be limited in clinical settings, CT cisternography could also be performed if there is high degree of suspicion. In a retrospective study of acute recurrent traumatic bacterial meningitis, 11 out of 15 patients with PTM who underwent CT cisternography were found to have CSF leakage [8]. Brain imaging can provide clue about traumatic injury to brain as was seen in our patient with findings of old blood products and gliotic changes in the frontal lobe (Fig.…”

Section: Discussion and Review Of Literaturementioning

confidence: 80%

“…Therefore, not all cases of PTM should be included under broad classification of HCM. Furthermore, PTM after closed-head injury often bears similar risk factors and microbiological profile as CAM [7, 8]. Hence, history of head trauma even if trivial in nature should be enquired in all cases of CAM.…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

“…Mostly gram-positive bacteria (GPB) like S. pneumoniae followed by Neisseria spp., Staphylococcus spp., etc., have been reported to be associated with PTM as they were retrieved from CSF culture in cases of community-acquired PTM or, meningeal swab assay in autopsy studies [7, 8, 15, 16, 18-20]. These GPB are common nasal/nasopharyngeal colonizer [21].…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

“…One should be highly suspicious of PTM in cases of recurrent meningitis. In observational studies, the cause of 50–75% of acute recurrent bacterial meningitis was due to PTM [7, 8].…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

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Post-Traumatic Meningitis: Case-Based Review of Literature from Internists’ Perspective

Das

Pal

2021

Case Rep Acute Med

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Most cases of post-traumatic meningitis (PTM) occur following immediate head trauma or neurosurgical procedures. Hence, internists do not often come across these patients. However, closed-head trauma can be associated with community-acquired meningitis (CAM), and this history can often be missed especially if it is remote or trivial in nature. Therefore, meticulous clinical assessment is necessary to identify cases of community-acquired PTM. Knowledge about pathophysiological, anatomical, and microbiological context of community-acquired PTM is required in order to manage these patients. The role of internist is to provide holistic management in these patients which includes not only antimicrobial treatment but also timely referral to surgical specialties if required as well as vaccination to prevent further episodes. Here, we present a case of CAM with remote history of close head trauma and cerebrospinal fluid rhinorrhea for years who was found to have base of skull (BOS) defect on imaging of skull. He was treated with antibiotics and referred to surgical specialties for repair of BOS defect as well as given pneumococcal vaccine to prevent further episodes of meningitis.

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Section: Discussion and Review Of Literaturementioning

confidence: 80%

Section: Discussion and Review Of Literaturementioning

confidence: 99%

Section: Discussion and Review Of Literaturementioning

confidence: 99%

“…One should be highly suspicious of PTM in cases of recurrent meningitis. In observational studies, the cause of 50–75% of acute recurrent bacterial meningitis was due to PTM [7, 8].…”

Section: Discussion and Review Of Literaturementioning

confidence: 99%

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