Streptococcus Pneumoniae Meningo-Encephalitis after Trans-Sphenoidal Surgery: a Case Report

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Küçük Resim

Tarih

2009

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Taylor & Francis Ltd

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Although meningismus or meningitis are known to occur after pituitary surgery; meningo-encephalitis caused by Streptococcus pneumoniae following a trans-sphenoidal approach has not been previously reported. A 56-year-old man presented with blurred vision. Two days after uneventful surgery, the patient became hyperpyrexic which progressed to confusion and lethargy within 48 hours. Spinal fluid cultures revealed Streptococcus pneumoniae. The patient was treated appropriately and made an uneventful recovery. MR images showed persistent changes within both frontal lobes. This case further suggests that peri-operative antimicrobial chemoprophylaxis may not save the patient from serious surgical infections.

Açıklama

Anahtar Kelimeler

Meningo-encephalitis, streptoccocus pneumoniae, trans-sphenoidal surgery

Kaynak

Acta Chirurgica Belgica

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

109

Sayı

5

Künye

closedAccess