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[Postoperative and posttraumatic meningitis. Comments on 87 cases]

D Mihalache1, V Luca, C Scurtu

  • 1Clinica de Boli Infecţioase, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|January 1, 1996
PubMed
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Iatrogenic and traumatic cerebromeningitis infections are rising. Bacterial meningitis, often caused by head trauma or medical procedures, presents diagnostic challenges and has a 10.3% mortality rate.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Bacteriology

Context:

  • Iatrogenic and traumatic cerebromeningitis infections show an increasing frequency over the past two decades.
  • A retrospective analysis reviewed 87 patients with these infections admitted between 1990 and 1994.

Purpose:

  • To analyze the causes, pathogens, diagnosis, treatment, and outcomes of iatrogenic and traumatic cerebromeningitis.
  • To understand the epidemiological trends and clinical characteristics of these serious infections.

Summary:

  • Causes included head trauma, lumbar punctures, and iatrogenic procedures.
  • Diagnosis is challenging due to non-specific clinical signs.
  • Pathogens varied: gram-negative bacteria and Staphylococcus in iatrogenic cases, and gram-positive bacteria (S. pneumoniae) in traumatic cases.

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  • Treatments involved penicillin G, chloramphenicol, cephalosporins, and quinolones.
  • The mortality rate was 10.3% (10 out of 87 patients).

    • Impact:

    • Highlights the diagnostic difficulties and etiological agents associated with cerebromeningitis.
    • Provides insights into treatment strategies and outcomes for these severe infections.
    • Underscores the need for vigilance and improved management protocols for iatrogenic and traumatic central nervous system infections.