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Community-acquired meningitis.

Post-neurosurgical procedure meningitis.

Posttraumatic meningitis.


see Viral meningitis.

see Bacterial meningitis

see Tuberculous meningitis

see Postoperative meningitis.

see Healthcare associated meningitis

see Frontal sinus posterior wall fracture


Occurs in 25-50% of untreated traumatic cerebrospinal fluid fistula (CSF) and in 10% of patients in the first week after trauma with head injury.

The diagnosis of external ventricular drain EVD-related ventriculo-meningitis in neurosurgical ICU patients can be established in a rapid manner using a multiplex real-time polymerase chain reaction (PCR) assay on cerebrospinal fluid (CSF) samples in combination with intrathecal biomarkers 1).


Imaging findings are mostly nonspecific with respect to the causative pathogen 2).

Enterovirus detection in cerebrospinal fluid was effective to differentiate bacterial meningitis from viral meningitis. When the test was analyzed together with the Bacterial Meningitis Score, specificity was higher when compared to Bacterial Meningitis Score alone 3).


Meningitis treatment.

Case reports

A report describes the first case, of meningitis in an adult patient caused by Caulobacter spp.

A 75 year-old-man was operated for a glioblastoma with no evident signs of primary infection in the wound site. Eight days after surgery the patient developed signs and symptoms of meningitis. Caulobacter was then isolated on three separate occasions in the patient's cerebrospinal fluid (CSF). Thereafter, specific antibiotic therapy began. After two weeks of therapy the patient was discharged with complete resolution of any related symptoms.

Caulobacter species can cause adult meningitis even where there is no evidence of surgical site infection 4).

Rath PM, Schoch B, Adamzik M, Steinmann E, Buer J, Steinmann J. Value of multiplex PCR using cerebrospinal fluid for the diagnosis of ventriculostomy-related meningitis in neurosurgery patients. Infection. 2014 Jan 29. [Epub ahead of print] PubMed PMID: 24470322.
Mohan S, Jain KK, Arabi M, Shah GV. Imaging of meningitis and ventriculitis. Neuroimaging Clin N Am. 2012 Nov;22(4):557-83. doi: 10.1016/j.nic.2012.04.003. Epub 2012 Sep 4. Review. PubMed PMID: 23122257.
Pires FR, Franco ACBF, Gilio AE, Troster EJ. Comparison of enterovirus detection in cerebrospinal fluid with Bacterial Meningitis Score in children. Einstein (Sao Paulo). 2017 Apr-Jun;15(2):167-172. doi: 10.1590/S1679-45082017AO3880. English, Portuguese. PubMed PMID: 28767914.
Penner F, Brossa S, Barbui AM, Ducati A, Cavallo R, Zenga F. Caulobacter spp: A rare pathogen responsible for paucisintomatic persisitant meningitis in a glioblastoma patient. World Neurosurg. 2016 Sep 17. pii: S1878-8750(16)30846-4. doi: 10.1016/j.wneu.2016.09.020. [Epub ahead of print] PubMed PMID: 27650802.
meningitis.txt · Last modified: 2020/09/15 11:14 by administrador