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Pneumocephalus and pneumococcal meningitis after thoracic surgery
Sandra Asner1, Caroline Chapuis-Taillard, Hans-Beat Ris
1Infectious Diseases Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Abstract:
A 62-year-old man with adenocarcinoma underwent complete resection with a right upper lobectomy and en-bloc resection of the chest wall, with metallic clips applied to the vertebral nerve roots. A sudden deterioration in neurological status occurred due to pneumocephalus and ascending bacterial meningitis resulting from a subarachnoid-pleural fistula. The neurological status normalized after thoracoplasty and ceftriaxone treatment.
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