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PubMed · 11398589

[Post-traumatic bacterial meningitis].

U Kluba-Wojewoda·M Krupa·M Moskała·A Garlicki·J Krukowiecki·M Bociaga-Jasik·J Caban·I Gościński
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Abstract

10 patients with posttraumatic bacterial meningitis were treated in the Department of Infectious Diseases of the Jagielloniam University--Collegium Medicum during the period of 63 months. Traffic accidents were responsible for 80% of all cases of trauma. The most common place of injury was the base of anterior cranial fossa. Infecting agent was established in 8 cases. Gram-positive aerobic cocci (Streptococcus pneumoniae, Enterococcus faecalis, and Enterococcus spp.) were found in 4 patients, Gram-negative aerobic cocci (Neisseria meningitidis) in 2 patients, and Gram-negative aerobic rods (Acinetobacter baumanii, Pseudomonas aeruginosa, Klebsiella spp, Escherichia coli) in 3 patients. Streptococcus pneumoniae was still highly sensitive to penicillin, ampicillin and cefotaxime. Enterococcus faecalis and Enterococcus spp. were sensitive to vancomycin and teicoplanin. Neisseria meningitidis was sensitive to penicillin, cefotaxime, amoxicillin/clavulonate. Gram negative aerobic rods were sensitive to third-generation cephalosporins, carbapenems and aminoglycosides. Among 10 patients treated for posttraumatic bacterial meningitis 1 patient died and in 1 preserved vegetative state was diagnosed. In 4 patients severe or moderate disabilities developed, however 4 recovered completely. 6 patients after regression of the CNS infection were qualified to neurosurgical intervention. In 3 patients reconstructive operation of the basis of anterior cranial fossa with tissue glue Beriplast P. was done, the recovery was complete. 3 patients didn't agree to surgical operation, and we don't know what has happened with them. They have not come to the control visit.

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AdultCranial Fossa, PosteriorDrug Resistance, MicrobialFollow-Up StudiesGram-Negative Aerobic BacteriaHead Injuries, ClosedHumansMeningitis, BacterialMiddle AgedTreatment OutcomeEnglish AbstractJournal Article

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U Kluba-Wojewoda, M Krupa, M Moskała, A Garlicki, J Krukowiecki, M Bociaga-Jasik, J Caban, I Gościński. 2000. [Post-traumatic bacterial meningitis].. https://pubmed.ncbi.nlm.nih.gov/11398589/

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