Case report: anaerobic meningitis caused by Peptostreptococcus magnus after head and neck surgery
Although anaerobic bacterial meningitis is uncommon, patients subjected to resection of head and neck malignancy appear at special risk. In this article, the authors report on a 72-year-old man in whom meningitis developed after extensive resection of the right sinuses for squamous cell carcinoma; i...
Gespeichert in:
| Veröffentlicht in: | The American journal of the medical sciences 1994-09, Vol.308 (3), p.184-185 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 185 |
|---|---|
| container_issue | 3 |
| container_start_page | 184 |
| container_title | The American journal of the medical sciences |
| container_volume | 308 |
| creator | Brown, M A Greene, J N Sandin, R L Vincent, A L |
| description | Although anaerobic bacterial meningitis is uncommon, patients subjected to resection of head and neck malignancy appear at special risk. In this article, the authors report on a 72-year-old man in whom meningitis developed after extensive resection of the right sinuses for squamous cell carcinoma; initial treatment consisted of intravenous vancomycin and ceftazidime. Intravenous penicillin G was added after the fortuitous early finding of intracellular cocci in Wright-Giemsa stained cerebral spinal fluid submitted for cell count. Cerebral spinal fluid cultures then grew out a pure culture of Peptostreptococcus magnus. The patient had a complete recovery, without neurologic sequelae, recurrence of malignancy, or evidence of infection. Appropriate handling of cerebral spinal fluid specimens is crucial to ensure the correct diagnosis when anaerobic organisms are suspected. |
| doi_str_mv | 10.1097/00000441-199409000-00013 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_76678448</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>76678448</sourcerecordid><originalsourceid>FETCH-LOGICAL-p121t-24aaea7898eb8d238cf2ee7e9664a84ab792b1a1c3c25f2da9d91a5a040387d43</originalsourceid><addsrcrecordid>eNotkEtPwzAQhH0AlVL4CUg-cQv41djmhiooSJXgAOdoY29CoHlgO4f-e1zRlUafZjSawxJCObvjzOp7djyleMGtVcxmU2RxeUaWmaKwpbAX5DLG75wKw-WCLAzTikuzJLCBiDTgNIb0QGEADGPdOdrj0A1tl7pIHcwRPa0P9B2nNMYUjnCjc3OkPbRDBjQJA_1C8HnD0wHdD41zaDEcrsh5A_uI1yeuyOfz08fmpdi9bV83j7ti4oKnQigABG2swdp4IY1rBKJGW5YKjIJaW1Fz4E46sW6EB-sthzUwxaTRXskVuf3fncL4O2NMVd9Fh_s9DDjOsdJlqY1SJhdvTsW57tFXU-h6CIfq9BP5B_0_ZJk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>76678448</pqid></control><display><type>article</type><title>Case report: anaerobic meningitis caused by Peptostreptococcus magnus after head and neck surgery</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>Alma/SFX Local Collection</source><creator>Brown, M A ; Greene, J N ; Sandin, R L ; Vincent, A L</creator><creatorcontrib>Brown, M A ; Greene, J N ; Sandin, R L ; Vincent, A L</creatorcontrib><description>Although anaerobic bacterial meningitis is uncommon, patients subjected to resection of head and neck malignancy appear at special risk. In this article, the authors report on a 72-year-old man in whom meningitis developed after extensive resection of the right sinuses for squamous cell carcinoma; initial treatment consisted of intravenous vancomycin and ceftazidime. Intravenous penicillin G was added after the fortuitous early finding of intracellular cocci in Wright-Giemsa stained cerebral spinal fluid submitted for cell count. Cerebral spinal fluid cultures then grew out a pure culture of Peptostreptococcus magnus. The patient had a complete recovery, without neurologic sequelae, recurrence of malignancy, or evidence of infection. Appropriate handling of cerebral spinal fluid specimens is crucial to ensure the correct diagnosis when anaerobic organisms are suspected.</description><identifier>ISSN: 0002-9629</identifier><identifier>DOI: 10.1097/00000441-199409000-00013</identifier><identifier>PMID: 8074138</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Carcinoma, Squamous Cell - surgery ; Cerebrospinal Fluid - microbiology ; Gram-Positive Bacterial Infections - drug therapy ; Gram-Positive Bacterial Infections - microbiology ; Humans ; Male ; Maxillary Sinus Neoplasms - surgery ; Meningitis, Bacterial - drug therapy ; Meningitis, Bacterial - microbiology ; Penicillin G - therapeutic use ; Peptostreptococcus - isolation & purification</subject><ispartof>The American journal of the medical sciences, 1994-09, Vol.308 (3), p.184-185</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8074138$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brown, M A</creatorcontrib><creatorcontrib>Greene, J N</creatorcontrib><creatorcontrib>Sandin, R L</creatorcontrib><creatorcontrib>Vincent, A L</creatorcontrib><title>Case report: anaerobic meningitis caused by Peptostreptococcus magnus after head and neck surgery</title><title>The American journal of the medical sciences</title><addtitle>Am J Med Sci</addtitle><description>Although anaerobic bacterial meningitis is uncommon, patients subjected to resection of head and neck malignancy appear at special risk. In this article, the authors report on a 72-year-old man in whom meningitis developed after extensive resection of the right sinuses for squamous cell carcinoma; initial treatment consisted of intravenous vancomycin and ceftazidime. Intravenous penicillin G was added after the fortuitous early finding of intracellular cocci in Wright-Giemsa stained cerebral spinal fluid submitted for cell count. Cerebral spinal fluid cultures then grew out a pure culture of Peptostreptococcus magnus. The patient had a complete recovery, without neurologic sequelae, recurrence of malignancy, or evidence of infection. Appropriate handling of cerebral spinal fluid specimens is crucial to ensure the correct diagnosis when anaerobic organisms are suspected.</description><subject>Aged</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cerebrospinal Fluid - microbiology</subject><subject>Gram-Positive Bacterial Infections - drug therapy</subject><subject>Gram-Positive Bacterial Infections - microbiology</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillary Sinus Neoplasms - surgery</subject><subject>Meningitis, Bacterial - drug therapy</subject><subject>Meningitis, Bacterial - microbiology</subject><subject>Penicillin G - therapeutic use</subject><subject>Peptostreptococcus - isolation & purification</subject><issn>0002-9629</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkEtPwzAQhH0AlVL4CUg-cQv41djmhiooSJXgAOdoY29CoHlgO4f-e1zRlUafZjSawxJCObvjzOp7djyleMGtVcxmU2RxeUaWmaKwpbAX5DLG75wKw-WCLAzTikuzJLCBiDTgNIb0QGEADGPdOdrj0A1tl7pIHcwRPa0P9B2nNMYUjnCjc3OkPbRDBjQJA_1C8HnD0wHdD41zaDEcrsh5A_uI1yeuyOfz08fmpdi9bV83j7ti4oKnQigABG2swdp4IY1rBKJGW5YKjIJaW1Fz4E46sW6EB-sthzUwxaTRXskVuf3fncL4O2NMVd9Fh_s9DDjOsdJlqY1SJhdvTsW57tFXU-h6CIfq9BP5B_0_ZJk</recordid><startdate>199409</startdate><enddate>199409</enddate><creator>Brown, M A</creator><creator>Greene, J N</creator><creator>Sandin, R L</creator><creator>Vincent, A L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199409</creationdate><title>Case report: anaerobic meningitis caused by Peptostreptococcus magnus after head and neck surgery</title><author>Brown, M A ; Greene, J N ; Sandin, R L ; Vincent, A L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p121t-24aaea7898eb8d238cf2ee7e9664a84ab792b1a1c3c25f2da9d91a5a040387d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Aged</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Cerebrospinal Fluid - microbiology</topic><topic>Gram-Positive Bacterial Infections - drug therapy</topic><topic>Gram-Positive Bacterial Infections - microbiology</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillary Sinus Neoplasms - surgery</topic><topic>Meningitis, Bacterial - drug therapy</topic><topic>Meningitis, Bacterial - microbiology</topic><topic>Penicillin G - therapeutic use</topic><topic>Peptostreptococcus - isolation & purification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brown, M A</creatorcontrib><creatorcontrib>Greene, J N</creatorcontrib><creatorcontrib>Sandin, R L</creatorcontrib><creatorcontrib>Vincent, A L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of the medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brown, M A</au><au>Greene, J N</au><au>Sandin, R L</au><au>Vincent, A L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case report: anaerobic meningitis caused by Peptostreptococcus magnus after head and neck surgery</atitle><jtitle>The American journal of the medical sciences</jtitle><addtitle>Am J Med Sci</addtitle><date>1994-09</date><risdate>1994</risdate><volume>308</volume><issue>3</issue><spage>184</spage><epage>185</epage><pages>184-185</pages><issn>0002-9629</issn><abstract>Although anaerobic bacterial meningitis is uncommon, patients subjected to resection of head and neck malignancy appear at special risk. In this article, the authors report on a 72-year-old man in whom meningitis developed after extensive resection of the right sinuses for squamous cell carcinoma; initial treatment consisted of intravenous vancomycin and ceftazidime. Intravenous penicillin G was added after the fortuitous early finding of intracellular cocci in Wright-Giemsa stained cerebral spinal fluid submitted for cell count. Cerebral spinal fluid cultures then grew out a pure culture of Peptostreptococcus magnus. The patient had a complete recovery, without neurologic sequelae, recurrence of malignancy, or evidence of infection. Appropriate handling of cerebral spinal fluid specimens is crucial to ensure the correct diagnosis when anaerobic organisms are suspected.</abstract><cop>United States</cop><pmid>8074138</pmid><doi>10.1097/00000441-199409000-00013</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9629 |
| ispartof | The American journal of the medical sciences, 1994-09, Vol.308 (3), p.184-185 |
| issn | 0002-9629 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76678448 |
| source | MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection |
| subjects | Aged Carcinoma, Squamous Cell - surgery Cerebrospinal Fluid - microbiology Gram-Positive Bacterial Infections - drug therapy Gram-Positive Bacterial Infections - microbiology Humans Male Maxillary Sinus Neoplasms - surgery Meningitis, Bacterial - drug therapy Meningitis, Bacterial - microbiology Penicillin G - therapeutic use Peptostreptococcus - isolation & purification |
| title | Case report: anaerobic meningitis caused by Peptostreptococcus magnus after head and neck surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T20%3A13%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Case%20report:%20anaerobic%20meningitis%20caused%20by%20Peptostreptococcus%20magnus%20after%20head%20and%20neck%20surgery&rft.jtitle=The%20American%20journal%20of%20the%20medical%20sciences&rft.au=Brown,%20M%20A&rft.date=1994-09&rft.volume=308&rft.issue=3&rft.spage=184&rft.epage=185&rft.pages=184-185&rft.issn=0002-9629&rft_id=info:doi/10.1097/00000441-199409000-00013&rft_dat=%3Cproquest_pubme%3E76678448%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=76678448&rft_id=info:pmid/8074138&rfr_iscdi=true |