Top

Child's Nervous System

Published in:

01-06-2009 | Case Report

Community-acquired Pseudomonas meningitis causes acute obstructive hydrocephalus

Authors: Jainn-Jim Lin, Chang-Teng Wu, Shao-Hsuan Hsia, Kuang-Lin Lin, Cheng-Hsun Chiu

Published in: Child's Nervous System | Issue 6/2009

Abstract

Introduction

Pseudomonas aeruginosa (PS) infection is serious in children and can cause malignant external otitis, endophthalmitis, endocarditis, meningitis, pneumonia, and septicemia (Huang et al. Pediatr Infect Dis J 1). The treatment of Pseudomonas infection requires prompt medical evaluation and appropriate antibiotic treatment.

Case report

We report the case of a 6-month-old boy with an unusual presentation of acute obstructive hydrocephalus owing to Pseudomonas meningitis. Treatment with optimal antibiotic begun immediately after the pathogen was recognized and continued for 4 weeks. The patient received prompt surgical intervention for the complication of acute obstructive hydrocephalus.

Conclusion

The early stage of obstructive hydrocephalus caused by community-acquired Pseudomonas is rare and should be immediately detected.

Huang YC, Lin TY, Wang CH (2002) Community-acquired pseudomonas aeruginosa sepsis in previously healthy infants and children: analysis of forty-three episodes. Pediatr Infect Dis J 21:1049–1052PubMedCrossRef

Saez-Llorens X, McCracken GH Jr (2003) Bacterial meningitis in children. Lancet 36:2139–2148CrossRef

Thomas DG (1992) Outcome of paediatric bacterial meningitis 1979–1989. Med J Aust 157:519–520PubMed

Mactier H, Galea P, McWilliam R (1998) Acute obstructive hydrocephalus complicating bacterial meningitis in childhood. BMJ 316:1887–1889PubMed

Wang KW, Chang WN, Chang HW, Wang HC, Lu CH (2005) Clinical relevance of hydrocephalus in bacterial meningitis in adults. Surg Neurol 64:61–66PubMedCrossRef

Frat JP, Veinstein A, Wager M, Burucoa C, Robert R (2001) Reversible acute hydrocephalus complicating Listeria monocytogenes meningitis. Eur J Clin Microbiol Infect Dis 20:512–514PubMedCrossRef

Alp H, Tan H, Orbak Z, Keskin H (2005) Acute hydrocephalus caused by mumps meningoencephalitis. Pediatr Infect Dis J. 24:657–658PubMedCrossRef

Taştan Y, Cam H, Yilmaz I, Demirel A, Uysal S, Cokuğraş CH, Erdinçler P (2007) Reversible acute tetraventricular hydrocephalus complicating possible mumps meningoencephalitis. Pediatr Int 49:100–102PubMedCrossRef

Tyagi A, Chumas P, Ferrie C (2001) Obstructive hydrocephalus following herpes simplex virus type 1 encephalitis treated by repeated third ventriculostomy. Pediatr Neurosurg 34:244–246PubMedCrossRef

10.

Yap E, Ellis-Pegler R (2006) Hydrocephalus in herpes simplex type 2 meningitis. J Infect 53:e75–77PubMedCrossRef

11.

Dubey AK, Rao KL (1997) Pathology of post meningitic hydrocephalus. Indian J Pediatr 64(Suppl 6):30–33PubMed

Title: Community-acquired Pseudomonas meningitis causes acute obstructive hydrocephalus
Authors: Jainn-Jim Lin
Chang-Teng Wu
Shao-Hsuan Hsia
Kuang-Lin Lin
Cheng-Hsun Chiu
Publication date: 01-06-2009
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 6/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-009-0836-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Community-acquired Pseudomonas meningitis causes acute obstructive hydrocephalus

Abstract

Introduction

Case report

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case report

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2009

Endoscopic third ventriculostomy for malfunction in previously shunted infants

Epilepsy surgery could be considered a line of defense against sudden unexpected death in epilepsy

Morphometric analysis of the craniocervical juncture in children with Chiari I malformation and concomitant syringobulbia

Lumbar synovial cyst in an adolescent: case report

Unfavorable lipoprotein profile in childhood cancer survivors with suprasellar brain tumors—a high Apo B level and increased small dense LDL-cholesterol

Do we really need class 1 evidence results to give adjuvant radiation therapy to childhood intracranial ependymomas?