Post-operative Meningitis Caused by Drug-resistant Streptococcus pneumoniae: Two Case Reports

Pancharoen, Chitsanu; Pongpunlert, Wiroje; Likitnukul, Sasithorn; Thisyakorn, Usa

doi:10.1080/00365540410019660

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…To our knowledge, few SPM cases after surgery have been reported in other conditions, including a healthy immunocompetent man 3 months after a cochlear implant, 8) a 9-month-old girl with an underlying frontoethmoidal encephalomeningocele who received facial surgery, 9) and a 5-year-old boy with obstructive sleep apnea who had undergone adenotonsillectomy. 9) Notably SPM after TSS has been reported in only one case in the literature. 1) In this report Bakar and Hakki Tekkok 1) described a 56-year-old man with SPM after TSS who became hyperpyrexic and progressed to confusion and lethargy 2 days after an uneventful surgery.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Streptococcus Pneumoniae Meningoencephalitis after Transsphenoidal Surgery: Three Case Reports

Kobayashi

Fukuhara

Fukui

et al. 2014

Neurol. Med. Chir.(Tokyo)

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We report three extremely rare cases of Streptococcus pneumoniae meningoencephalitis (SPM) after transsphenoidal surgery (TSS). Between 2004 and 2010, we experienced three cases of severe SPM after surgery out of 1,965 patients undergoing TSS (0.15%). The three cases included a 4-year-old boy with a large cystic craniopharyngioma, a 40-year-old man with a non-functioning pituitary adenoma, and a 55-year-old man with acromegaly. The similarity among these SPM patients was that severe clinical events occurred suddenly 1–2 months postoperatively without any history of sinusitis or pneumonia. Despite intensive care these patients notably had residual neurological sequelae. In no case was rhinorrhea associated with SPM. It should be noted that SPM was not detected from bacterial cultures of the sphenoidal sinus mucous membranes (BCSM) obtained during TSS in two of the patients examined. Severe postoperative SPM can occur suddenly without cerebrospinal fluid (CSF) leakage within 2 months after surgery and requires emergency treatment. Reduced resistance to infection may play a role in the occurrence of SPM in our three patients. Our study indicates that BCSM is not useful for predicting postoperative meningitis.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Streptococcus Pneumoniae Meningoencephalitis after Transsphenoidal Surgery: Three Case Reports

Kobayashi

Fukuhara

Fukui

et al. 2014

Neurol. Med. Chir.(Tokyo)

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“…The blood and CSF culture failed to grow any bacteria. Further, case reports of bacterial meningitis following adenotonsillectomy have been reported, but the complication appears to be rare [14, 15]. Isaacson & Parke [16] suggested that it is probably a retrograde flow of bacteria via an anastomotic network of veins that causes occasional bacterial meningitis cases [16].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature we found sound evidence for the association between cochlear implants and bacterial meningitis, in addition we encountered a few retrospective institution-based analyses on certain surgical procedures and several case reports on post-operative meningitis [4][5][6][7][8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

The risk of acquiring bacterial meningitis following surgery in Denmark, 1996–2009: a nationwide retrospective cohort study with emphasis on ear, nose and throat (ENT) and neurosurgery

Howitz

Homøe

2013

Epidemiol. Infect.

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This paper estimates the risk of bacterial meningitis following surgery between 1996 and 2009 in Denmark. We conducted two retrospective nationwide cohort studies; first by linking notified bacterial meningitis cases to the National Patient Registry to see how many had undergone a surgical procedure; second, we scrutinized notified bacterial meningitis cases to see if the clinician suspected a surgical procedure to be the aetiology. We found that ear, nose and throat surgery had an 11-fold, and neurosurgery a sevenfold, increased risk compared to the reference group in the first 10 days following surgery. Streptococcus pneumoniae was the pathogen most often involved. Operation procedures involving penetration of dura mater was associated with increased risk for post-operative bacterial meningitis. In absolute numbers we found few bacterial meningitis cases after surgery; however, patients undergoing certain surgical procedures are at-risk and should be considered when national vaccination guidelines are revised.

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Méningites nosocomiales

et al. 2009

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Post-operative Meningitis Caused by Drug-resistant Streptococcus pneumoniae: Two Case Reports

Cited by 5 publications

References 5 publications

Clinical Characteristics of Streptococcus Pneumoniae Meningoencephalitis after Transsphenoidal Surgery: Three Case Reports

Clinical Characteristics of Streptococcus Pneumoniae Meningoencephalitis after Transsphenoidal Surgery: Three Case Reports

The risk of acquiring bacterial meningitis following surgery in Denmark, 1996–2009: a nationwide retrospective cohort study with emphasis on ear, nose and throat (ENT) and neurosurgery

Méningites nosocomiales

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