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Serratia marcescens meningitis
G Theccanat1, L Hirschfield, H Isenberg
1Long Island Jewish Medical Center, Albert Einstein College of Medicine, New Hyde Park, New York 11042.
Journal of Clinical Microbiology
|April 1, 1991
Summary
This report details a rare case of Serratia marcescens meningitis in an elderly man. The infection developed weeks after ear surgery, highlighting a potential complication of otic procedures.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Otolaryngology
Background:
- Serratia marcescens is an opportunistic pathogen that can cause severe infections.
- Meningitis following otic surgery is a rare but serious complication.
- Post-operative infections require prompt identification and management.
Purpose of the Study:
- To report a case of Serratia marcescens meningitis after otic surgery.
- To emphasize the importance of considering unusual pathogens in post-operative meningitis.
- To contribute to the limited literature on this specific complication.
Main Methods:
- Case report of a 66-year-old male patient.
- Clinical presentation and diagnostic workup.
- Autopsy findings to identify the source of infection.
Main Results:
- Serratia marcescens meningitis was diagnosed 4 weeks post-otologic surgery.
- Autopsy revealed an infection nidus in the middle ear.
- This represents the second reported case in English-language literature.
Conclusions:
- Otic surgery can be complicated by delayed Serratia marcescens meningitis.
- The middle ear can serve as a primary focus for meningitis.
- Vigilance for rare pathogens is crucial in post-surgical meningitis cases.