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Case Reports
. 2017 Oct 19:2017:bcr2017221839.
doi: 10.1136/bcr-2017-221839.

Community-acquired Pseudomonas aeruginosa meningitis

Charles Gallaher  1 , James Norman  2 , Abhinav Singh  3 , Frances Sanderson  4
Affiliations
Case Reports

Community-acquired Pseudomonas aeruginosa meningitis

Charles Gallaher et al. BMJ Case Rep. .

Abstract

Gram-negative bacilli such as Pseudomonas aeruginosa are a rare cause of meningitis. Patients developing P. aeruginosa meningitis most commonly have a history of neurosurgical procedures. We report a patient who presented with community-acquired chronic meningitis secondary to P. aeruginosa, related to surgery for otosclerosis 5 years previously.

Keywords: ear, nose and throat/otolaryngology; infection (neurology); infections; meningitis; therapeutic indications.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
MRI brain with contrast (T2 image) from day 2 of the patient’s admission shows fluid in the left mastoid cavity (white arrow), representing postsurgical changes and a potential source of infection.
Figure 2
Figure 2
A T1 image from the same study shows abnormal enhancement of the right vestibulocochlear nerve (white arrow), correlates clinically with the patient’s acute sensorineural right-sided hearing loss.
Figure 3
Figure 3
MRI spine with contrast from day 3 of admission (T1 image) showing diffuse leptomeningeal enhancement of the brainstem (white arrow), cord and nerve roots, seen here as a bright line on the anterior aspect of cord, brainstem and visualised cisterns.
Figure 4
Figure 4
MRI spine with contrast (T1 image) performed 19 weeks later demonstrates resolution of the leptomeningeal enhancement (white arrow).
See this image and copyright information in PMC

References

    1. Sexton DJ. Approach to the patient with chronic meningitis. 2015. https://www.uptodate.com/contents/approach-to-the-patient-with-chronic-m... (accessed 9 Jan 2017).
    1. Greenlee JE, Wahlen GE. Subacute and chronic meningitis. 2015. http://www.merckmanuals.com/professional/neurologic-disorders/meningitis... (accessed 9 Jan 2017).
    1. Pai S, Bedford L, Ruramayi R, et al. . Pseudomonas aeruginosa meningitis/ventriculitis in a UK tertiary referral hospital. QJM 2016;109:85–9. 10.1093/qjmed/hcv094 - DOI - PubMed
    1. Pomar V, Benito N, López-Contreras J, et al. . Spontaneous gram-negative bacillary meningitis in adult patients: characteristics and outcome. BMC Infect Dis 2013;13:451 10.1186/1471-2334-13-451 - DOI - PMC - PubMed
    1. Corbett JJ, Rosenstein BJ. Pseudomonas meningitis related to spinal anesthesia. Report of three cases with a common source of infection. Neurology 1971;21:946–50. 10.1212/WNL.21.9.946 - DOI - PubMed

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