Document Detail


Staphylococcus aureus meningitis associated with pyogenic infection of the sacroiliac joint.
MedLine Citation:
PMID:  8211343     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although we have reported the first case of Staphylococcus aureus meningitis due to pyogenic arthritis of the sacroiliac joint, this finding is actually not surprising, given the strong association between this form of meningitis and underlying bone, joint, and soft tissue infections. The physician faced with a case of meningitis due to S aureus in a patient without a history of trauma or neurosurgical manipulation must do a prompt and thorough search for underlying infectious conditions. In the case of sacroiliitis in particular, a high index of suspicion needs to be maintained, given the difficulties and delays in diagnosis associated with this infection. Radionuclide scanning with 99mTc or 67Ga is usually helpful in the early confirmation of this condition, the presence of which may be suspected on the basis of thorough physical examination.
Authors:
T J Cieslak; M G Ottolini; K M O'Neill; R M Lampe
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Southern medical journal     Volume:  86     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-23     Completed Date:  1993-11-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1175-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Walter Reed Army Medical Center, Washington, DC.
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Arthritis, Infectious / complications*,  diagnosis
Cerebrospinal Fluid / microbiology
Child, Preschool
Diagnosis, Differential
Female
Gait
Gallium Radioisotopes / diagnostic use
Humans
Magnetic Resonance Imaging
Meningitis, Bacterial / cerebrospinal fluid,  drug therapy,  etiology,  microbiology*
Physical Examination
Sacroiliac Joint*
Staphylococcal Infections / complications*,  diagnosis
Technetium Tc 99m Pyrophosphate / diagnostic use
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Gallium Radioisotopes; 0/Technetium Tc 99m Pyrophosphate

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