Multidisciplinary Clinical Case Study

Mycobacterium fortuitum Meningitis: Approach to Lumboperitoneal Shunt Infection

Mycobacterium fortuitum is a rare, opportunistic pathogen most frequently contracted through contact with a contaminated source. An immunocompetent 26-year-old female patient presented to our institution with an infected lumboperitoneal (LP) shunt presenting as continued nonhealing wounds. After multiple debridements, shunt revisions, and wound closure failures, infectious disease specialists were consulted….

Posted in: infection 11 meningitis 5

Case Report

Carcinomatous Meningitis Secondary to Transitional Cell Bladder Cancer

We report a patient with carcinomatous meningitis secondary to known transitional cell carcinoma of the bladder. The patient presented with multiple focal neurological signs and symptoms. Diagnosis was suggested by magnetic resonance imaging and confirmed by analysis of the cerebrospinal fluid. He received whole brain radiotherapy despite a poor prognosis….

Posted in: meningitis 5

Review Article

Iatrogenic Meningitis in an Obstetric Patient After Combined Spinal-Epidural Analgesia: Case Report and Review of the Literature

Abstract:Iatrogenic meningitis is a rare but potentially fatal condition. We report a case of meningitis after combined spinal-epidural anesthesia and review previous reports of meningitis subsequent to spinal, combined spinal-epidural and epidural analgesia or anesthesia. Streptococci remain the most commonly identified agent, although cultures are frequently negative. Droplet contamination or…

Posted in: infection control 4 meningitis 5 spinal anesthesia 3

Original Article

Causes and Presentation of Meningitis in a Baltimore Community Hospital 1997–2006

Objectives: Described here is the clinical presentation and etiology of community-acquired meningitis in adult patients in a Baltimore community hospital from 1997 to 2006. Method: A retrospective chart review was performed. Data were collected regarding demographics, presenting symptoms, cerebrospinal fluid findings, and outcome. Results: Of 80 patients identified, 17 were…

Posted in: meningitis 5

Case Report

Otogenic Fusobacterium Meningitis, Sepsis, and Mastoiditis in an Adolescent

Fusobacterium necrophorum is a strict anaerobic organism responsible for a number of clinical syndromes known as necrobacillosis. Although meningeal infections with anaerobes are rare, delayed diagnosis and treatment can be potentially fatal. We report a unique case of Fusobacterium meningitis, mastoiditis, and sepsis in a previously healthy adolescent. Diagnosis and…

Posted in: Fusobacterium 2 meningitis 5 necrobacillosis 2
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