Características clínicas e laboratoriais de meningites piogênicas em adultos

Gomes, Irênio; Lucena, Rita; Melo, Aílton

doi:10.1590/s0004-282x1997000400012

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…In adult patients’ intracranial infection, the most common pathogens were Neisseria meningitidis , Streptococcus pneumoniae . [ 6 ] K pneumoniae caused pyogenic meningitis were rare, and mostly found in patients with history of head trauma or surgery, [ 7 ] or as the septic metastatic lesions of invasive K pneumoniae liver abscess syndrome, at 13% of incidence. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult

Yang

Shrestha²,

Kolakshyapati

et al. 2018

Medicine

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Rationale:Klebsiella pneumonia (K. pneumonia), primarily a hospital-acquired pathogen, can cause a variety of deep-seated infections with significant morbidities. However, in the current scenario of global rise in antibiotic abuse, unexpected infection could be caused by K. pneumoniae.Patient concerns:A 56-year-old male who presented with intermittent headache and low fever was admitted, he had transsphenoidal surgery for pituitary adenoma 3 years ago. Routine laboratory tests revealed an elevated WBC count of 10.12 × 109/L and C-reactive protein (CRP) 12.9 mg/L. computed tomography (CT) revealed the sellar region with suspicious hemorrhage.Diagnoses:The patient was initially diagnosed with acute residual tumor hemorrhage. But the consequent diagnose of Klebsiella pneumoniae purulent meningitis was made based on the cerebrospinal fluid lab test and cerebrospinal fluid (CSF) and blood culture, and CT scan.Interventions:Lumbar puncture examination was made and the antibiotics were adjusted to meropenem and vancomycin according to the antibiotic sensitivity test. But because of the patient's unstable vital signs, his family refuse further lateral ventricular drainage.Outcomes:The infection was out of control and the patient died of spontaneous breath and heartbeat arrest.Lessons:Through this case, we could learn that any clue of suspicious intracranial infection should be carefully considered in the current scenario of global rise in antibiotic abuse. The manifestation of intermittent headache and mild fever could be potential signs of fatal infection, and prompt appropriate measures should be taken timely.

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Section: Discussionmentioning

confidence: 99%

Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult

Yang

Shrestha²,

Kolakshyapati

et al. 2018

Medicine

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Cost-effectiveness of the introduction of the pneumococcal polysaccharide vaccine in elderly Colombian population

Castañeda-Orjuela

Alvis-Guzmán

Paternina

et al. 2011

Vaccine

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Avaliação laboratorial de pacientes com meningite: diagnóstico diferencial entre meningite bacteriana e viral

Freitas¹,

Mattos²

2018

Revista Científica Multidisciplinar Núcleo do Conhecimento

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As meningites são inflamações das meninges (pia-máter, dura-máter e aracnoide), vários fatores podem levar um indivíduo a desenvolver meningite, tais como agentes infecciosos (bactérias, vírus e fungos) e agentes não infecciosos, como, por exemplo, um trauma; os indivíduos com maior susceptibilidade são as crianças, pacientes imunodeprimidos e imunocomprometidos. Esta pesquisa traz informações de importância no auxílio do diagnóstico das meningites, sendo feito um paralelo entre as meningites bacterianas e virais, que são de maior incidência. Como objetivo principal foi definido o que é meningite, suas peculiaridades e a forma de identifica-la laboratorialmente, descrevendo as diferenças clínicas e elucidando o diagnóstico diferencial entre as meningites bacterianas e virais. Este estudo foi realizado seguindo o conceito de pesquisa bibliográfica, utilizando material já elaborado, formado de artigos científicos, teses e livros. O critério de inclusão utilizado para seleção de material foi selecionar os dados que tivessem como foco o diagnóstico laboratorial e aspectos clínicos/laboratoriais das meningites bacterianas e virais. Os parâmetros laboratoriais para a diferenciação das meningites bacterianas das virais mostram que o exame de maior importância é a análise do líquido cefalorraquidiano, demonstrando alteração desde o exame macroscópico a testes mais sofisticados. A análise de um líquor após uma meningite bacteriana se apresenta características exsudativas e facilita o diagnóstico diferencial clínico, ao contrário das análises de amostras após infecções virais e fúngicas, que demonstram menos alterações com características de transudato dependendo de associações clínicas e análises mais específicas como a microbiológica e dosagem de lactato para auxiliar no diagnóstico diferencial.

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Características clínicas e laboratoriais de meningites piogênicas em adultos

Cited by 3 publications

References 8 publications

Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult

Occult community acquired Klebsiella pneumoniae purulent meningitis in an adult

Cost-effectiveness of the introduction of the pneumococcal polysaccharide vaccine in elderly Colombian population

Avaliação laboratorial de pacientes com meningite: diagnóstico diferencial entre meningite bacteriana e viral

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