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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
PubMed
Summary
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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.

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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.