Klebsiella Pneumoniae Meningitis

Soscia, John L.; DiBENEDETTO, Robert; Crocco, John A.

doi:10.1001/archinte.1964.00280100077012

Cited by 18 publications

(3 citation statements)

References 9 publications

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“…In general, the clinical features and the CSF findings of the infection are not very different from those of K. pneumoniae meningitis. Previous studies have shown that the incidence of diabetes mellitus is higher in patients with K. pneumoniae meningitis than in the general population [11,12] and diabetes mellitus is a poor prognostic factor in K. pneurnoniae,meningitis [2,13]. In our K. oxytoca meningitis cases, neither of these was found.…”

Section: Discussioncontrasting

confidence: 58%

Klebsiella oxytoca meningitis: Frequent association with neurosurgical procedures

Tang

Chen

1995

Infection

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Klebsiella oxytoca meningitis is a rare condition. Nine patients were diagnosed between 1981 and 1993 at our institution. These accounted for 2.3% of 393 patients with blood and/or cerebrospinal fluid culture-proven bacterial meningitis. K. oxytoca was noted in both community-acquired meningitis and nosocomial meningitis. Eight of the nine cases were patients who had undergone neurosurgical procedures. Four were mixed bacterial meningitis. All K. oxytoca isolates were susceptible to third-generation cephalosporins and all but one to chloramphenicol. Antibiotic therapy was successful in eight patients but failed in one.

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Section: Discussioncontrasting

confidence: 58%

Klebsiella oxytoca meningitis: Frequent association with neurosurgical procedures

Tang

Chen

1995

Infection

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“…Despite modem antibiotic therapy, klebsiella meningitis has a 50% or higher mortality (Soscia et al, 1964). We believe the use of cefotaxime to have been instrumental in reversing the rapidly progressive downward course in this patient.…”

Section: Discussionmentioning

confidence: 77%

Unusual presentation of primary klebsiella meningitis: successful treatment with cefotaxime

Sandyk¹,

Brennan²

1983

Postgraduate Medical Journal

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“…The incidence of diabetes mellitus in patients with K. pneumoniae meningitis is significantly higher than that in the general population [18,19]. A high mortality rate in patients with K. pneumoniae meningitis has been related to diabetes mellitus [20]. In the four patients with K. ozaenae meningitis, one had diabetes mellitus and another had hyperglycemia.…”

Section: Discussionmentioning

confidence: 91%

Klebsiella ozaenae meningitis: Report of two cases and review of the literature

Tang

Chen

1994

Infection

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Meningitis is rarely caused by Klebsiella ozaenae, a colonizer of the oral and nasopharyngeal mucosa. We describe two patients with K. ozaenae meningitis. Both patients suffered from a primary disease of the nasopharyngeal pathway; one had nasopharyngeal carcinoma and the other ozena. Review of the English-language literature from 1966 to the present revealed only two cases of K. ozaenae meningitis; pneumonia and hyperglycemia were noted in one patient and otitis media, sinusitis and diabetes mellitus in the other. All these four patients were over 50 years old. Of the four patients, two treated with third-generation cephalosporins recovered whereas one of the two treated with chloramphenicol died. One patient who died had a positive blood culture for K. ozaenae. Blood culture was positive in only one of the three survivors. Whether chloramphenicol should be replaced by a third-generation cephalosporin and whether blood culture indicates a poor prognosis in K. ozaenae meningitis remain to be determined.

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Klebsiella Pneumoniae Meningitis

Cited by 18 publications

References 9 publications

Klebsiella oxytoca meningitis: Frequent association with neurosurgical procedures

Klebsiella oxytoca meningitis: Frequent association with neurosurgical procedures

Unusual presentation of primary klebsiella meningitis: successful treatment with cefotaxime

Klebsiella ozaenae meningitis: Report of two cases and review of the literature

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