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Titolo:
Characterization of chemical meningitis after neurological surgery
Autore:
Forgacs, P; Geyer, CA; Freidberg, SR;
Indirizzi:
Lahey Clin Med Ctr, Dept Infect Dis, Infect Dis Sect, Burlington, MA 01805USA Lahey Clin Med Ctr Burlington MA USA 01805 Sect, Burlington, MA 01805USA Lahey Clin Med Ctr, Dept Diagnost Radiol, Burlington, MA 01805 USA Lahey Clin Med Ctr Burlington MA USA 01805 diol, Burlington, MA 01805 USA Lahey Clin Med Ctr, Dept Neurosurg, Burlington, MA 01805 USA Lahey Clin Med Ctr Burlington MA USA 01805 surg, Burlington, MA 01805 USA
Titolo Testata:
CLINICAL INFECTIOUS DISEASES
fascicolo: 2, volume: 32, anno: 2001,
pagine: 179 - 185
SICI:
1058-4838(20010115)32:2<179:COCMAN>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
WOUND-INFECTION; RISK-FACTORS; NEUROSURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Forgacs, P Lahey Clin Med Ctr, Dept Infect Dis, Infect Dis Sect, 41 Mall Rd, Burlington, MA 01805 USA Lahey Clin Med Ctr 41 Mall Rd Burlington MA USA01805 01805 USA
Citazione:
P. Forgacs et al., "Characterization of chemical meningitis after neurological surgery", CLIN INF D, 32(2), 2001, pp. 179-185

Abstract

We reviewed the records of 70 consecutive adult patients with meningitis after a neurosurgical procedure, to determine the characteristics that mighthelp to distinguish a sterile postoperative chemical meningitis from bacterial infection. The spinal fluid profiles in bacterial and chemical meningitis are similar. The exceptions are that a spinal fluid white blood cell count >7500/muL (7500 x 10(6)/L) and a glucose level of <10 mg/dL were not found in any case of chemical meningitis. The clinical setting and clinical manifestations were distinct enough that no antibiotic was administered after lumbar puncture to 30 (43%) of the 70 patients with postoperative meningitis. Chemical meningitis was infrequent after surgery involving the spine and sinuses. Patients with chemical meningitis did not have purulent wound drainage or significant wound erythema or tenderness, coma, new focal neurological findings, or onset of a new seizure disorder. They rarely had temperatures >39.4 degreesC or cerebrospinal fluid rhinorrhea or otorrhea.

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Documento generato il 02/06/20 alle ore 02:08:49