Document Detail

Community-acquired recurrent bacterial meningitis in adults.
MedLine Citation:
PMID:  17682979     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Community-acquired recurrent bacterial meningitis in adults is a relatively rare disease. All previous data were derived from small retrospective case series. METHODS: We prospectively evaluated episodes of recurrent bacterial meningitis in a nationwide cohort study in The Netherlands. RESULTS: Thirty-four episodes of recurrent bacterial meningitis were identified among 31 patients; 3 patients experienced 2 episodes during the study period. The mean age was 43 years, and 25 (74%) of 34 episodes occurred in men. Predisposing conditions were involved in 26 (77%) of 34 episodes; the most common predisposing conditions were remote head injury (17 [53%] of 32 episodes) and cerebrospinal fluid (CSF) leakage (9 [32%] of 28 episodes). Lumbar puncture revealed an individual CSF indicator of bacterial meningitis for almost all episodes (88%). The outcome was death for 5 (15%) of 34 episodes; 1 additional patient had a suboptimal score on the Glasgow Outcome Scale. CONCLUSION: We conclude that most patients with recurrent meningitis are male and have predisposing conditions, which, in most cases, are remote head injury or CSF leakage.
Kirsten S Adriani; Diederik van de Beek; Matthijs C Brouwer; Lodewijk Spanjaard; Jan de Gans
Related Documents :
23295819 - Epidemiology of oestrus ovis (diptera: oestridae) in sheep in botucatu, state of são pa...
24561149 - Sex-related differences in outcomes following transcatheter or surgical aortic valve re...
18622679 - Effect of linezolid against postneurosurgical meningitis caused by methicillin-resistan...
23139469 - Pulmonary function of adult nigerians placed on intermaxillary fixation.
17707839 - Novel agents and strategies for treatment of p53-defective chronic lymphocytic leukemia.
24432119 - Radiographic parameters improve lower extremity prosthetic alignment.
22580859 - Estimation of botulinum toxin type a efficacy on spasticity and functional outcome in c...
7674469 - Stroke rate is markedly reduced after carotid endarterectomy by avoidance of protamine.
2510259 - Rioprostil and ranitidine in the prevention of duodenal ulcer relapse.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-07-23
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  45     ISSN:  1537-6591     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-08     Completed Date:  2007-09-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e46-51     Citation Subset:  IM    
Department of Neurology, Center of Infection and Immunity Amsterdam, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Community-Acquired Infections / epidemiology
Craniocerebral Trauma / complications*
Glasgow Coma Scale
Meningitis, Bacterial / complications,  microbiology,  mortality*
Middle Aged
Netherlands / epidemiology
Prospective Studies
Risk Factors
Sex Factors
Subdural Effusion / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Definitive diagnosis and assessment of risk for nonalcoholic fatty liver disease in children and ado...
Next Document:  Acute Q fever hepatitis in patients with and without underlying hepatitis B or C virus infection.