Feculent meningitis: polymicrobial meningitis in colorectal surgery

García-Lechuz, J.M.; Hernangómez, Susana; Juan, Rafael San; Bouza, Emilio

doi:10.1016/s0732-8893(00)00184-x

Cited by 13 publications

(8 citation statements)

References 8 publications

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“…7,8 Anaerobic meningitis secondary to a communication between the gastrointestinal tract and thecal sac, in the absence of an ASM, is equally rare; reported cases were to the result of neoplastic perforation of the colon with presacral abscess formation or previous local pelvic radiotherapy. [9][10][11] In the present case, the fistula probably arose from stercoral perforation in a fecally impacted rectum; there was no history of rectal trauma and histopathologic examination showed acute inflammatory changes with no evidence of inflammatory bowel disease or malignancy. Ganglia were present throughout the length of resected bowel, thereby excluding Hirschsprung_s disease.…”

Section: Discussionmentioning

confidence: 55%

Anaerobic Meningitis Secondary to a Rectothecal Fistula Arising from an Anterior Sacral Meningocele: Report of a Case and Review of the Literature

Phillips¹,

Brown²,

Mitchell³

et al. 2006

Diseases of the Colon &Amp; Rectum

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An anterior sacral meningocele is a diverticulum of the thecal sac protruding anteriorly from the sacral spinal canal into the extraperitoneal presacral space. It is a rare congenital anomaly comprising of a thin wall of fibrous connective tissue, and containing cerebrospinal fluid and, occasionally, adjacent nerve fibers. We report an unusual case of a 48-year-old male who presented with meningitis secondary to a rectothecal fistula arising from an anterior sacral meningocele.

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Section: Discussionmentioning

confidence: 55%

Anaerobic Meningitis Secondary to a Rectothecal Fistula Arising from an Anterior Sacral Meningocele: Report of a Case and Review of the Literature

Phillips¹,

Brown²,

Mitchell³

et al. 2006

Diseases of the Colon &Amp; Rectum

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“…However, the prognosis was poor compare to bacterial meningitis (31). Inappropriate antibiotic therapy administered due to the delay in diagnosis is the cause of increase in the sequelae and mortality of anaerobic meningitis (32). Exact incidence of anaerobic meningitis is unclear and was presented in only a few case reports.…”

Section: Discussionmentioning

confidence: 99%

Polymicrobial Anaerobic Meningitis Detected by Next-Generation Sequencing: Case Report and Review of the Literature

Song

et al. 2022

Front. Med.

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BackgroundAnaerobic meningitis is a severe central nervous system infection associated with significant neurological sequelae and high mortality. However, the precise detection of causative pathogen(s) remains difficult because anaerobic bacteria are difficult to culture. Next-generation sequencing is a technology that was developed recently and has been applied in many fields. To the best of our knowledge, the use of next-generation sequencing for cerebrospinal fluid analysis in the diagnosis of anaerobic meningitis has been rarely reported.Case presentationHere, we report a case of polymicrobial anaerobic meningitis diagnosed using next-generation sequencing of cerebrospinal fluid in a 16-year-old girl. Five species of anaerobic bacteria (Porphyromonas gingivalis, Prevotella enoeca, Campylobacter rectus, Fusobacterium uncleatum, and Actinomyces israelii) were detected by next-generation sequencing and treated with antibacterial agents (ceftriaxone, vancomycin, and metronidazole). The patient responded well to antibacterial treatment. Further inspection revealed bone destruction at the base of the skull, which further confirmed that these bacteria had originated from the oral cavity. One month later, the patient's condition improved significantly. At the same time, we performed a literature review on anaerobic meningitis using studies published in the last 20 years.ConclusionsThis case emphasizes the importance of applying metagenomic next-generation sequencing to clinch the clinical diagnosis for patients with central nervous system infection. Metagenomic next-generation sequencing has been reported to be an important diagnostic modality for identifying uncommon pathogens.

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“…Historically, the presence of anaerobic organisms in the CSF of children and adults has been suspected by contiguous infections of the head and neck. These include otitis media, sinusitis, mastoiditis and dental or brain abscesses . Anaerobes may also be recovered from abdominal and pelvic collections, and a fistulous communication to the central nervous system may result from trauma, surgery, inflammatory or genetic diseases and malignancy .…”

Section: Discussionmentioning

confidence: 99%

Bacteroides fragilis concealed in an infant with Escherichia coli meningitis

Ganeshalingham

Buckley

Shaw

et al. 2013

J Paediatrics Child Health

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Anaerobic meningitis in infants is rare, therefore a high index of clinical suspicion is essential as routine methods for processing cerebrospinal fluid (CSF) do not detect anaerobes and specific antimicrobial therapy is required. We present an infant with Escherichia coli meningitis where treatment-resistance developed in association with culture negative purulent CSF. These features should have alerted us to the presence of anaerobes, prompting a search for the causes of polymicrobial meningitis in infants.

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Feculent meningitis: polymicrobial meningitis in colorectal surgery

Cited by 13 publications

References 8 publications

Anaerobic Meningitis Secondary to a Rectothecal Fistula Arising from an Anterior Sacral Meningocele: Report of a Case and Review of the Literature

Anaerobic Meningitis Secondary to a Rectothecal Fistula Arising from an Anterior Sacral Meningocele: Report of a Case and Review of the Literature

Polymicrobial Anaerobic Meningitis Detected by Next-Generation Sequencing: Case Report and Review of the Literature

Bacteroides fragilis concealed in an infant with Escherichia coli meningitis

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