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Post ventriculoperitoneal shunting S. Maltophilia Meningitis. An uncommon case.
- Source :
- Romanian Neurosurgery; Jun2022, Vol. 36 Issue 2, p220-223, 4p
- Publication Year :
- 2022
-
Abstract
- Background: Leptomeningeal inflammation caused by S. Maltophilia is rare. It is inextricably linked with prior antimicrobial therapy; prolonged ICU stays and antecedent neurosurgical intervention. Case description: We describe a case of a 5-year-old male child with posterior fossa medulloblastoma with obstructive hydrocephalus who underwent ventriculoperitoneal shunt followed by suboccipital midline craniotomy and later presented with S. Maltophilia meningitis. Conclusion: The overall mortality in the cases reviewed was 17 per cent. Inherent resistance to a wide array of antimicrobial agents with a simultaneously increasing number of cases poses a therapeutic challenge. Trimethoprim/sulfamethoxazole is recommended as empirical and as a definitive treatment in patients with S. Maltophilia infection. The optimal duration of therapy for S. Maltophilia meningitis is similar to the treatment of gram-negative bacillary meningitis, which is usually 2 weeks after the culture has been negative. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 12208841
- Volume :
- 36
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Romanian Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 158075047
- Full Text :
- https://doi.org/10.33962/roneuro-2022-039