Otogenic meningoencephalitis caused by Streptococcus pneumoniae
Journal Title: Journal of Microbiology and Infectious Diseases - Year 2013, Vol 3, Issue 2
Abstract
Meningitis/ meningoencephalitis due to Streptococcus pneumoniae are with severe course and high mortality rate. A case of severe meningoencephalitis by S. pneumoniae secondary to chronic bilateral otitis and mastoiditis is presented here. A 37-year-old male patient was admitted with fever, excitation, somnolence and meningeal irritation. Investigation of cerebrospinal fluid (CSF) revealed increased protein level (11.3 g/L), leucocytes count 59,790/μL (93% neutrophils), extremely decreased glucose level (0.1 mmol/L). S. pneumoniae was confirmed by latex test and culture of CSF. Otitis media and mastoiditis were found bilaterally by computerized tomography. Bilateral cortical mastoidectomy was performed together with antibacterial treatment by consequently ceftazidime and cefepime and corticosteroids were administered. He experienced progressive improvement and was discharged with normal laboratory parameters and without sequels after 17 days hospital treatment. In conclusion, both surgical and conservative treatments are crucial for outcome of meningitis/ meningoencephalitis by S. pneumoniae secondary to chronic mastoiditis. J Microbiol Infect Dis 2013; 3(2): 86-88 Key words: Streptococcus pneumoniae, meningitis, meningoencephalitis, mastoiditis
Authors and Affiliations
Tsetsa Doichinova, Galya Gancheva, Stefan Mirchev, Nachko Totsev
Keywords
Related Articles
- EP ID EP146547
- DOI 10.5799/ahinjs.02.2013.02.0087
- Views 137
- Downloads 0
Nokardiyoz Epidemiyolojisi – Kuzey Hindistan’dan Altı Yıllık Bir Çalışma
Amaç: Klinik örneklerden yeni Nocardia türlerini izole etmek ve bunların farklı antibiyotiklere olan duyarlılık paternlerini çalışmak. Nokardiyoza eşlik eden değişik risk faktörleri de çalışıldı. Metotlar: Yatan hasta v...
Genital tuberculosis: A rare cause of vulvovaginal discharge and swelling
Herein, we report a patient with vulvovaginal tuberculosis (TB) presented with a vulvovaginal mass and vaginal discharge. The diagnosis was made by both histopathological examination of the excised specimen which was cl...
Is it really an erysipelas?
Primary cutaneous anaplastic large cell lymphoma is characterized by red-brown plaques or nodules on the skin, may mimic skin and soft tissue infections and is usually related with high mortality. A case that was follow...
Frequency of active HCV infection among anti-HCV positive patients in selected districts of Khyber Pakhtunkhwa, Pakistan
Objective: The objective of this study was to determine frequency of active HCV infection among confirmed anti-HCV positive subjects of KPK in order to help the infected subjects decide about anti-viral treatment options...
Hindistan, Maharashtra’da mikotik keratitlerin mikrobiyolojik değerlendirilmesi: Prospektif bir çalışma
Amaç: Korneaya bağlı körlük bütün dünyada önemli bir halk sağlığı problemidir ve mikotik keratit önde gelen sebeplerinden biridir. Enfeksiyonun tedavi edilmesi zordur ve görme bozukluğuna ve körlüğe yol açabilir....