1/33. Molecular identification and epidemiological tracing of pasteurella multocida meningitis in a baby.We report a case of pasteurella multocida meningitis in a 1-month-old baby exposed to close contact with two dogs and a cat but without any known history of injury by these animals. 16S rRNA gene sequencing of the isolate from the baby allowed identification at the subspecies level and pointed to the cat as a possible source of infection. molecular typing of Pasteurella isolates from the animals, from the baby, and from unrelated animals clearly confirmed that the cat harbored the same P. multocida subsp. septica strain on its tonsils as the one isolated from the cerebrospinal fluid of the baby. This case stresses the necessity of informing susceptible hosts at risk of contracting zoonotic agents about some basic hygiene rules when keeping pets. In addition, this study illustrates the usefulness of molecular methods for identification and epidemiological tracing of Pasteurella isolates.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
2/33. pasteurella multocida meningitis in an adult: case report.pasteurella multocida is known to form part of the normal flora in the nasopharynx or gastrointestinal tract in many domestic and wild animals. Most human P multocida infections are soft tissue infections caused by dog or cat bites. Less commonly this bacterium is associated with infections affecting other organ systems of man. A case of fatal P multocida meningitis discovered at the necropsy of a 52 year old man is described. P multocida is an unusual causative agent of meningitis which tends to affect those at the extremes of age.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
3/33. Subdural empyema after tooth extraction in which capnocytophaga species was isolated.We describe a patient with meningitis and a subdural empyema arising from an infection after teeth extraction in which capnocytophaga species was detected. The patient was a 54-y-old man without any underlying diseases. A computerized tomography scan showed a subdural empyema 21 d after the extraction.- - - - - - - - - - ranking = 6keywords = tract (Clic here for more details about this article) |
4/33. streptococcus suis meningitis, a poacher's risk.streptococcus suis infection is a zoonosis that has been mainly reported in pig-rearing and pork-consuming countries. The most common disease manifestation is meningitis, often associated with cochleovestibular signs. The causative agent is streptococcus suis serotype 2, found as a commensal in the tonsils of its natural host, the pig. persons at risk are mostly those with an occupational exposure to domestic pigs or their meat products. A case of meningitis caused by streptococcus suis in a poacher who had killed and butchered a wild boar is reported. It appears that wild boar hunters are at additional risk of contracting the disease.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
5/33. Fatal septicemia and meningitis due to morganella morganii in a patient with Hodgkin's disease.A unique case of spontaneous morganella morganii meningitis in a patient with stage IV Hodgkin's disease, following hematogenous spread from the urinary tract, is described. Late initiation of appropriate antibiotic treatment was probably responsible for the fatal outcome. This case illustrates the pathogenic potential of M. morganii in immunocompromised hosts.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
6/33. Subdural hematoma after cervical epidural steroid injection.STUDY DESIGN: A case report is presented involving a subdural hematoma after cervical epidural steroid injection. OBJECTIVE: To demonstrate a previously unreported complication of cervical epidural steroid injection. SUMMARY OF BACKGROUND DATA: Cervical epidural steroid injection is a common procedure performed in the care of patients with spine-related complaints. Reports of complications are rare, and most of these are fairly benign. To the authors' knowledge, subdural hematoma has never been described as a complication of a cervical epidural steroid injection. methods: A patient underwent an uncomplicated cervical epidural steroid injection by an experienced anesthesiologist. She developed acute onset of axial pain followed by progressive quadriparesis within a matter of 8 hours. She was transferred from a local emergency room after a CT scan suggested posterior cord displacement consistent with an anterior spinal hematoma from C3 to C5. She was taken to the operating room for urgent decompression. Exploration revealed an anterior subdural hematoma that was evacuated followed by dural closure with a patch. RESULTS: After surgery the patient was initially quadriplegic but rapidly gained full function in the left upper and lower extremities. She was making steady progress with motor recovery on the right side when she developed acute meningitis about 8 days after surgery, and then she subsequently went into cardiopulmonary arrest. She was successfully resuscitated but remained critically ill with no evidence of encouraging neurologic function. Six days later she had a second cardiac arrest and could not be resuscitated. CONCLUSIONS: It is important to acknowledge that spinal hematomas can occur after cervical epidural steroid injection, as prompt recognition and treatment could improve the prognosis for recovery. The sequelae of a cervical subdural hematoma after epidural steroid injection remain potentially devastating.- - - - - - - - - - ranking = 0.048737197288662keywords = upper (Clic here for more details about this article) |
7/33. stenotrophomonas maltophilia meningitis, bacteremia and respiratory infection.stenotrophomonas maltophilia is an increasingly recognized cause of nosocomial infection of special interest because of its resistance to multiple antimicrobial agents. We report a case of generalized infection by S. maltophilia, including meningitis, bacteremia and respiratory tract infection, in a patient who had undergone multiple neurosurgical procedures and who was treated with trimethoprim-sulphamethoxazole.- - - - - - - - - - ranking = 714.83116605453keywords = respiratory tract infection, respiratory tract, tract infection, tract (Clic here for more details about this article) |
8/33. Early manifestation and recognition of C2 complement deficiency in the form of pyogenic infection in infancy.OBJECTIVE: Although frequently asymptomatic, C2 complement component deficiency may lead to severe pyogenic infections or lupus-like illness. In the present report, we describe infectious manifestations in infancy and childhood in our C2-deficient patients. METHOD: A retrospective study of clinical manifestation in three patients was carried out. C2 deficiency was proved both by undetectable serum C2 level and typical homozygous 28 bp deletion of the C2 gene. RESULTS: All patients were hospitalized at least once by the age of 12 months, each had one episode of meningitis in infancy, one also had arthritis with septicaemia. Infections of the respiratory tract were the causes of other hospitalizations. Two patients also suffered from frequent mild respiratory tract infections; in both patients, decreased immunoglobulin IgA and immunoglobulin IgG2 or immunoglobulin IgG3 levels were recorded. CONCLUSION: Our observations point to an early manifestation of C2 deficiency within the first year of life, with meningitis as the most severe complication. The severity of immunodeficiency may be influenced by concomitant deficiencies of immunoglobulin isotypes.- - - - - - - - - - ranking = 799.57533412298keywords = respiratory tract infection, respiratory tract, tract infection, tract (Clic here for more details about this article) |
9/33. Complement component deficiencies and infection: C5, C8 and C3 deficiencies in three families.Three families are described with complement component deficiencies. In one family, five children had C5 deficiency; in a second family, two children had C8 deficiency and one child in a third family had C3 deficiency. The index cases were identified during screening of patients with recurrent pyogenic infections, recurrent meningitis and meningococcaemia. Two of the five C5 deficient patients had recurrent meningitis and meningococcaemia, two had recurrent respiratory tract infections and otitis and one was healthy. One of the C8 deficient patients had meningitis, meningococcaemia and pneumonia, whereas his sibling with the same deficiency was healthy. The patient with C3 deficiency had four episodes of meningitis and recurrent otitis.- - - - - - - - - - ranking = 714.83116605453keywords = respiratory tract infection, respiratory tract, tract infection, tract (Clic here for more details about this article) |
10/33. Erroneous diagnosis within the cranial vault.The majority of pediatric neoplasias of the brain are midline growths in the posterior fossa. These mass lesions lead to obstruction of cerebrospinal fluid circulation and cause increased intracranial pressure. Affected children typically present with insidious complaints of headache and vomiting. ataxia, cranial nerve palsies, or pyramidal tract signs may be present at the time the diagnosis is entertained. In the reports describing pathognomonic clinical features of posterior fossa tumors, an accelerated presentation with minimal prodromal events has not been emphasized. This report details the case of a child with a cerebellar medulloblastoma who presented with abrupt onset of fever, nuchal rigidity, and altered mental status. Emergency department misdiagnosis occurred.- - - - - - - - - - ranking = 1keywords = tract (Clic here for more details about this article) |
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