A Case of Streptococcus salivarius Meningitis in a Patient with Cerebrospinal Fluid Rhinorrhea after Skull Base Fracture / 대한임상미생물학회지
Korean Journal of Clinical Microbiology
; : 92-96, 2009.
Article
Dans Ko
| WPRIM
| ID: wpr-146052
Responsable en Bibliothèque :
WPRO
ABSTRACT
Streptococcus salivarius meningitis is very uncommon, and most cases are iatrogenic, occurring after invasive procedures such as spinal anesthesia or lumbar puncture etc.. Post-traumatic occurrence of this infection is especially rare. A 20-year-old man with a previous history of skull base fracture was seen at the emergency department with signs of acute bacterial meningitis. The CSF had a few gram positive cocci with neutrophilic pleocytosis, which were identified as S. salivarius by the Vitek system (bioMerioux, Inc., Hazelwood, MO, USA), rapid ID 32 Strep (bioMerieux, Marcy-l'Etoile, France) and 16S rRNA sequencing. The microorganism showed intermediate resistance to penicillin (MIC=0.25 microg/mL) but was susceptible to cefotaxime (MIC=0.25 microg/mL) and vancomycin (MIC= 0.75 microg/mL). The patient was treated with ceftriaxone and vancomycin. He also had his CSF leakage repaired by an endoscopic approach. To our knowledge, this is the first case of S. salivarius meningitis reported in Korea.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pénicillines
/
Crâne
/
Fractures du crâne
/
Ponction lombaire
/
Streptococcus
/
Ceftriaxone
/
Vancomycine
/
Céfotaxime
/
Rhinorrhée cérébrospinale
/
Méningite bactérienne
Type d'étude:
Prognostic_studies
Limites du sujet:
Humans
Pays comme sujet:
Asia
langue:
Ko
Texte intégral:
Korean Journal of Clinical Microbiology
Année:
2009
Type:
Article