2,825 results match your criteria Imaging in Bacterial Meningitis


[Bacterial Meningitis and Suppurative Thrombophlebitis after Trigger Point Injections: A Case Report].

Brain Nerve 2021 Jun;73(6):737-740

Department of Neurology, Kobe City Medical Center General Hospital.

A 73-year-old woman with untreated diabetes mellitus visited our emergency department with a 4-day history of progressive headache, fever, and chills. She received trigger point injections (TPI) into the right sternocleidomastoid for exercise-induced ipsilateral shoulder pain, 13 days before admission and into the right trapezius, 6 days before admission. Cerebrospinal fluid (CSF) evaluation revealed pleocytosis with a predominance of neutrophils, as well as elevated protein and reduced glucose levels. Read More

View Article and Full-Text PDF

A Rare Case of an Intramedullary Spinal Cord Abscess Due to Escherichia coli in a Pediatric Patient.

Child Neurol Open 2021 Jan-Dec;8:2329048X211011869. Epub 2021 Jun 1.

Department of Pediatrics, Loyola University Medical Center, Maywood, IL, USA.

Spinal cord abscess is a rare entity, particularly in the pediatric population. Spinal cord abscesses can be located in extradural, subdural and intradural (intramedullary or extramedullary) regions of the cord. Among these locations, intramedullary is extremely uncommon. Read More

View Article and Full-Text PDF

Pneumocephalus with meningitis secondary to an old traumatic anterior cranial fossa defect.

BMJ Case Rep 2021 Jun 11;14(6). Epub 2021 Jun 11.

Emergency Medicine, Kasturba Hospital Manipal, Manipal, Karnataka, India.

We report a case of a 30-year-old man who presented with altered mental status, fever, headache and vomiting for 3 days. An initial CT scan of the brain revealed the presence of pneumocephalus with a bony defect in the anterior cranial fossa. The pneumocephalus was not explained initially and the patient was re-examined for any signs of trauma to the face, and a review of the history revealed a series of three traumatic events months prior to this illness. Read More

View Article and Full-Text PDF

Acute Sterile Meningitis as a Primary Manifestation of Pituitary Apoplexy.

AACE Clin Case Rep 2021 Mar-Apr;7(2):117-120. Epub 2020 Dec 28.

Department of Internal Medicine, Texas Health Presbyterian Hospital of Dallas, Dallas, Texas.

Objective: We report a case of pituitary apoplexy (PA) with negative radiographic findings for PA and cerebrospinal fluid (CSF) analysis consistent with neutrophilic meningitis. PA is a rare endocrinopathy requiring prompt diagnosis and treatment. Presentation with acute neutrophilic meningitis is uncommon. Read More

View Article and Full-Text PDF
December 2020

Ventriculitis: A Severe Complication of Central Nervous System Infections.

Open Forum Infect Dis 2021 Jun 29;8(6):ofab216. Epub 2021 Apr 29.

Department of Neurosurgery, Rennes University Hospital, Rennes, France.

Background: Ventriculitis, a dreaded complication of brain abscess, meningitis, and various neurosurgical procedures, has attracted limited attention in the medical literature.

Methods: This is a retrospective, single-center study. We screened the medical files of all patients who had a brain imaging report that included the word "ventriculitis" during years 2005-2019. Read More

View Article and Full-Text PDF

Acquired unilateral upper limb hypertrophy as a late complication of tuberculous meningitis complicated by Chiari 1 malformation and syringomyelia.

BMJ Case Rep 2021 May 25;14(5). Epub 2021 May 25.

Paediatrics and Child Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South Africa.

Syringomyelia associated with tuberculous meningitis (TBM) is an extremely rare condition. Only a few adult cases have been reported. A 12-year-old woman, who previously suffered TBM at the age of 6 months, presented with a long-standing history of right upper limb panhypertrophy, dissociate anaesthesia, frequent headaches, scoliosis and acquired macrocephaly. Read More

View Article and Full-Text PDF

Aseptic Meningitis Secondary to Antibiotic Therapy.

Cureus 2021 Apr 13;13(4):e14454. Epub 2021 Apr 13.

Internal Medicine, Citrus Memorial Hospital, Inverness, USA.

Drug-induced aseptic meningitis is a rare entity. Diagnosis of drug-induced aseptic meningitis can be challenging due to the difficulty in distinguishing clinical presentation from bacterial or viral meningitis. We present a case of a 52-year-old Caucasian female patient who presented to the emergency room on two different occasions with severe headache, neck pain, and confusion. Read More

View Article and Full-Text PDF

Anthrax meningoencephalitis complicated with brain abscess - A case report.

Int J Infect Dis 2021 May 12;108:217-219. Epub 2021 May 12.

Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania.

Bacillus anthracis is a sporulating gram-positive rod whose main route of entry into the human body is cutaneous. Anthrax meningitis is usually fulminant and fatal. We present here a successfully treated case of anthrax meningoencephalitis complicated with brain abscess. Read More

View Article and Full-Text PDF

: An Unexpected Cause of Polyarthritis and Meningitis.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211012194

University of Florida College of Medicine, Jacksonville, FL, USA.

, a gram-negative coccus, is a major cause of morbidity among sexually active individuals. Hematogenous spread of from the initial site of infection is thought to occur in only 0.5% to 3% of infected patients. Read More

View Article and Full-Text PDF

Cerebral aspergillosis.

Tidsskr Nor Laegeforen 2021 04 7;141(6). Epub 2021 Apr 7.

Background: The diagnosis of intracerebral fungal abscesses may be difficult due to the paucity of laboratory tests and similar radiological appearance to other lesions.

Case Presentation: We present an immunocompromised woman in her forties who was admitted with a diagnosis of bacterial meningitis. MRI examination showed findings suggestive of fungal abscesses, and a subsequent lumbar puncture showed PCR positive for non-fumigatus Aspergillus. Read More

View Article and Full-Text PDF

[Aseptic meningitis caused by brucellosis. Report of one case].

Rev Med Chil 2020 Dec;148(12):1844-1847

Departamento de Neurología & Neurocirugía, Hospital Clínico, Universidad de Chile, Santiago, Chile.

Aseptic meningitis represents a diagnostic challenge for the clinician. Cytological and chemical parameters are key in the differential diagnosis. Hypoglycorrhachia is a strong predictor of a bacterial origin for aseptic meningitis. Read More

View Article and Full-Text PDF
December 2020

Meningitis in the Setting of Frontoethmoidal and Temporal Meningoencephaloceles.

Neurohospitalist 2021 Apr 10;11(2):183-184. Epub 2020 Sep 10.

Department of Neurology, NYU Langone Medical Center, New York, NY, USA.

This is a patient with multiple meningoencephaloceles which resulted in bacterial meningitis and subsequent status epilepticus. We identify impressive imaging findings demonstrating herniation of the meninges from nasal and bitemporal skull base defects possibly as a result of intracranial hypertension. Read More

View Article and Full-Text PDF

Cerebrospinal Fluid Analysis.

Am Fam Physician 2021 04;103(7):422-428

Womack Army Medical Center, Fort Bragg, NC, USA.

Cerebrospinal fluid (CSF) analysis is a diagnostic tool for many conditions affecting the central nervous system. Urgent indications for lumbar puncture include suspected central nervous system infection or subarachnoid hemorrhage. CSF analysis is not necessarily diagnostic but can be useful in the evaluation of other neurologic conditions, such as spontaneous intracranial hypotension, idiopathic intracranial hypertension, multiple sclerosis, Guillain-Barré syndrome, and malignancy. Read More

View Article and Full-Text PDF

Acute bacterial meningitis.

Curr Opin Neurol 2021 Jun;34(3):386-395

NIHR Mucosal Pathogens Research Unit, Department of Infection, Division of Infection and Immunity, University College London, London, UK.

Purpose Of Review: Community-acquired bacterial meningitis is a continually changing disease. This review summarises both dynamic epidemiology and emerging data on pathogenesis. Updated clinical guidelines are discussed, new agents undergoing clinical trials intended to reduce secondary brain damage are presented. Read More

View Article and Full-Text PDF

Neuroradiology of infectious diseases.

Curr Opin Infect Dis 2021 Jun;34(3):228-237

Section of Infectious Diseases, UT Health McGovern Medical School, Houston, Texas, USA.

Purpose Of Review: Early diagnosis of central nervous system (CNS) infections is crucial given high morbidity and mortality. Neuroimaging in CNS infections is widely used to aid in the diagnosis, treatment and to assess the response to antibiotic and neurosurgical interventions.

Recent Findings: The Infectious Diseases Society of America (IDSA) guidelines have clear recommendations for obtaining a computerized tomography of the head (CTH) prior to lumbar puncture (LP) in suspected meningitis. Read More

View Article and Full-Text PDF

The role of preoperative imaging for auditory implants in children.

Otolaryngol Pol 2020 Jun;75(1):23-35

Department of Otolaryngology, Audiology and Pediatric Phoniatrics, Children's Hearing Implant Program, Provincial Children's Hospital in Bydgoszcz.

<b>Introduction:</b> Preoperative imaging, besides audiological evaluation, plays a major role in evaluation of candidacy for auditory implants, and in particular cochlear implants. It is essential to assess whether the basic criteria necessary for implantation are met. Diagnostic imaging is crucial not only in determining candidacy, but also determining the feasibility of cochlear implantation as it allow to anticipate surgical difficulties which could preclude or complicate the implantation of the device. Read More

View Article and Full-Text PDF

Neonatal Pneumocephalus Secondary to Acinetobacter Meningitis.

Indian J Pediatr 2021 06 15;88(6):616. Epub 2021 Mar 15.

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.

View Article and Full-Text PDF

Meningeal tuberculoma: when to consider it?

Rev Soc Bras Med Trop 2021;54. Epub 2021 Mar 8.

Universidade Federal de Pernambuco, Centro de Ciências Médicas, Recife, PE, Brasil.

View Article and Full-Text PDF

Bacterial meningitis and COVID-19: a complex patient journey.

BMJ Case Rep 2021 Mar 5;14(3). Epub 2021 Mar 5.

General Medicine Bishop Auckland General Hospital, County Durham and Darlington NHS Foundation Trust, Bishop Auckland, UK.

A woman in her 70s presented to the emergency department with fever, fluctuating cognition and headache. A detailed examination revealed neurological weakness to the lower limbs with atonia and areflexia, leading to a diagnosis of bacterial meningitis, alongside a concurrent COVID-19 infection. The patient required critical care escalation for respiratory support. Read More

View Article and Full-Text PDF

Cortical Venous Thrombosis Complicating Tubercular Meningitis.

J Coll Physicians Surg Pak 2021 Feb;31(2):221-224

Department of Medicine, Maulana Azad Medical College, New Delhi, India.

Cortical venous thrombosis (CVT) mostly occurs due to a hypercoagulable state. Infection- related CVT is very rare and is a medical emergency associated with a very high mortality rate. It has been described with bacterial and fungal infections; but only a few isolated case reports of CVT related to tubercular meningitis (TBM) exist. Read More

View Article and Full-Text PDF
February 2021

[A case of nasal discharge resulting in recurrent bacterial meningitis].

Rinsho Shinkeigaku 2021 Mar 23;61(3):177-181. Epub 2021 Feb 23.

Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine.

A 47-year-old man who was previously hospitalized three times due to bacterial meningitis experienced a headache and posterior neck pain in May. He was admitted to our hospital because of a fever 3 h later. He was fully conscious and febrile, with a headache and signs of meningeal irritation. Read More

View Article and Full-Text PDF

BILATERAL GANGLIONIC HAEMORRHAGIC STROKE COMPLICATING SUSPECTED MENINGOCOCCAEMIA: A CASE REPORT.

Ann Ib Postgrad Med 2020 Jun;18(1):74-77

Department of Pathology, University College Hospital, Ibadan.

Haemorrhagic stroke in pyogenic meningitis is a rare complication accounting for about 2% of all complications1,2. It often results from disseminated intravascular coagulation, which is a complication of bacterial meningitis and portends a poor prognosis. A superimposed intracranial haemorrhage, although extremely rare, is associated with high mortality rate. Read More

View Article and Full-Text PDF

Postpartum headaches after epidural or spinal anesthesia.

Curr Opin Obstet Gynecol 2021 Apr;33(2):94-99

Department of Anesthesia, Division of Obstetric Anesthesia, Stanford University, Stanford, California, USA.

Purpose Of Review: Postpartum headache is a common occurrence with various obstetric, neurologic, and anesthetic etiologies. Post dural puncture headache (PDPH) after neuraxial anesthesia is a culprit that may be less familiar to obstetricians. In this review, authors will discuss the differential diagnosis and management of postpartum headache, review PDPH, and explore evidence suggesting that PDPH may have greater implications than previously considered. Read More

View Article and Full-Text PDF

Vertebral osteomyelitis as a hidden cause of persistent meningeal irritation in a patient with pneumococcal meningitis: A case report.

Medicine (Baltimore) 2021 Feb;100(6):e24705

Department of Neurology, Dokkyo Medical University, Japan.

Rationale: Pneumococcal meningitis generally develops from bacteremia and is often complicated by multiple organ infection.

Patient Concerns: A 62-year-old man with no previous medical history developed progressive disturbance of consciousness preceded by high-grade fever and headache for a few days.

Diagnosis: The patient was diagnosed with pneumococcal meningitis based on meningeal irritation, polymorphonuclear cell-predominant pleocytosis of the cerebrospinal fluid (CSF) and a positive pneumococcal urinary antigen test at a different hospital. Read More

View Article and Full-Text PDF
February 2021

High-dose steroid and heparin: a novel therapy for cerebral vasculitis associated with presumed group A meningitis.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

Division of Neurology, Department of Pediatrics, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada.

Cerebral vasculitis is a serious complication of bacterial meningitis that can cause significant morbidity and mortality due to stroke. Currently, there are no treatment guidelines or safety and efficacy studies on the management of cerebral vasculitis in this context. Herein, we report a case of a previously well 11-year-old girl who presented with acute otitis media that progressed to mastoiditis and fulminant meningitis. Read More

View Article and Full-Text PDF
February 2021

[Treatment of syringomyelia in patients with arachnopathy within craniovertebral junction].

Zh Vopr Neirokhir Im N N Burdenko 2021 ;85(1):10-18

Pirogov Russian National Research Medical University, Moscow, Russia.

One of the causes of syringomyelia is arachnopathy following an infectious or non-infectious inflammation of the arachnoid membrane. It is extremely rare that adhesive arachnoiditis develops within the occipital cistern and impairs cerebrospinal fluid flow from the foramen of Magendie, along posterior cerebellar surface and into spinal subarachnoid space. These process result syringomyelia. Read More

View Article and Full-Text PDF
February 2021

Is cerebral salt wasting related to sympathetic dysregulation in tuberculous meningitis?

Neurosci Lett 2021 03 29;747:135671. Epub 2021 Jan 29.

Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. Electronic address:

Background: Cerebral Salt wasting (CSW) is common in Tuberculous Meningitis (TBM) and is suggested to be due to sympathetic dysregulation of renal blood supply but has not been proven.

Objective: To evaluate plasma Catecholamines in TBM patients with CSW and correlate with the markers of stress.

Materials And Methods: The diagnosis of TBM was based on clinical, CSF and MRI criteria. Read More

View Article and Full-Text PDF

SOP: emergency workup in patients with suspected acute bacterial meningitis.

Neurol Res Pract 2021 Jan 7;3(1). Epub 2021 Jan 7.

Department of Neurology, LMU Klinikum, Ludwig Maximilians University Munich, Marchioninistr 15, 81377, Munich, Germany.

Introduction: Despite antibiotic therapy, adjunctive treatment with dexamethasone, and care on modern intensive care units, bacterial meningitis remains a life-threatening disease with a high mortality and morbidity. One of most critical factors that influences outcome is a targeted quick but profound workup and early initiation of therapy in the Emergency Department. This standardized operating procedure was designed to guide physicians through the workup of patients with suspected acute bacterial meningitis. Read More

View Article and Full-Text PDF
January 2021

Case 1-2021: A 76-Year-Old Woman with Lethargy and Altered Mental Status.

N Engl J Med 2021 Jan;384(2):166-176

From the Departments of Medicine (L.M.B., A.K.B.), Radiology (R.G.G.), and Pathology (M.N.A.), Massachusetts General Hospital, and the Departments of Medicine (L.M.B., A.K.B.), Radiology (R.G.G.), and Pathology (M.N.A.), Harvard Medical School - both in Boston.

View Article and Full-Text PDF
January 2021

Pseudomonal Meningoencephalitis With Ventriculitis Secondary to Bacteremia in a Burn Patient: A Novel Case.

J Burn Care Res 2021 Jan 23. Epub 2021 Jan 23.

Division of Critical Care Medicine, Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida.

Burn patients with large burn surface area involvement are at increased risk of infection due to the presence of large wounds, multiple surgeries, prolonged intensive care unit admission, and immunosuppression. Pseudomonas aeruginosa (P. Aeruginosa) is the most commonly isolated organism in this population. Read More

View Article and Full-Text PDF
January 2021