Streptokokken-Meningitis nach kurzzeitiger externer Liquordrainage wegen Hirnblutung

Zusammenfassung

Es wird über ein 16 ⁸/₁₂ Jahre altes Mädchen berichtet, das eine linksseitige Stammganglienblutung erlitt. Nach einer kurzzeitig notwendigen externen Ventrikeldrainage kam es zu einer Meningitis durch Streptococcus (Str.) oralis. Anhand einer kurzen Übersicht über die aktuelle Literatur werden die Besonderheiten derartiger Infektionen erläutert und die zweckmäßige antimikrobielle Therapie bei Nachweis von Str. oralis diskutiert.

Streptococcal meningitis after ventriculostomy catheter insertion due to cerebral hemorrhage

Summary

This report deals with a almost 17-year-old girl, who suffered from a cerebral hemorrhage (stem ganglions on the left side). Several days after the insertion of a ventriculostomy catheter a purulent meningitis due to Streptococcus (Str.) oralis was diagnosed. Based on a short review of the literature, clinical and microbiological aspects of these infections and the appropriate antibiotic treatment of Str. oralis infections are discussed.

Schlüsselwörter

Meningitis - Streptococcus oralis - externe Liquordrainage

Key words

Meningitis - Streptococcus oralis - ventriculostomy catheter

Literatur

• 1 Ania B J. Staphylococcus aureus meningitis after short-term epidural analgesia.  Clin Infect Dis. 1994;  18 844-845
• 2 Baird R W. Streptococcal meningitis complicating myelography: report of additional cases.  Clin Infect Dis. 1996;  22 395
• 3 Bastin R, Bricaire F. Méningites rares et d' inoculation.  Rev Prat. 1981;  31
• 4 Bissagnene E, Kouassi-Yapi F, Ba-Zeze V, Odi A, Kadio A. Méningite à Streptococcus pneumoniae après myelograpie et infiltration intrarachidienne.  Méd Malad Infect. 1990;  20 40-41
• 5 Blackmore T K, Morley H R, Gordon D L. Streptococcus mitis-induced bacteremia and meningitis after spinal anesthesia.  Anesthesiology. 1993;  78 592-594
• 6 Byers K, Axelrod P, Michael S, Rosen St. Infections complicating tunneled intraspinal catheter systems used to treat chronic pain.  Clin Infect Dis. 1995;  21 403-408
• 7 Chauveau D, Schlemmer B, Jedynak C P, Derome P J, Loirat Ph. Méningites purulentes post-neurochirurgicales. Trente et une observations.  Presse Méd. 1987;  16 295-298
• 8 Cummings R J. Recurrent meningitis secondary to infection after spinal arthrodesis with instrumentation.  J Bone Joint Surg [Am]. 1998;  80 722-724
• 9 Daumal M, Colpart E, Daumal F, Manoury B. Méningite à Streptococcus salivarius après saccoradiculographie.  Méd Malad Infect. 1995;  25 872-873
• 10 De Jong J, Baars A CM. Lumbar myelography followed by meningitis.  Infect Contr Hosp Epidemiol. 1992;  13 74-75
• 11 Domingo P, Mancebo J, Blanch L, Coll P, Martinez E. Iatrogenic streptococcal meningitis.  Clin Infect Dis. 1994;  19 536-537
• 12 Eisler K, Gradinger R, Hipp R, Kolb E. Zur Bedeutung der Meningitis als Komplikation der Spinalanaesthesie.  Anaesthesist. 1987;  36 76-77
• 13 Emmanuel E R. Post-sacral extradural catheter abscess in a child.  Br J Aaesth. 1994;  73 548-549
• 14 Feder H M, Adelman A M, Pugno P A, Dallman J J. Meningitis following normal lumbar punctures.  J Fam Pract. 1985;  20 437-440
• 15 Gelfand M S, Abolnik I Z. Streptococcal meningitis complicating diagnostic myelography: three cases and review.  Clin Infect Dis. 1995;  20 582-587
• 16 Harding S A, Collis R E, Morgan B M. Meningitis after combined spinal-extradural anaesthesia in obstetrics.  Br J Anaesth. 1994;  73 545-547
• 17 Kelkar R, Gordon M, Giri N, Rao K, Ramakrishnan G, Saikia S, Nair N, Kurkure A, Pai S K, Jarvis W R, Advani S H. Epidemic iatrogenic Acinetobacter species meningitis following administration of intrathecal methotrexate.  J Hosp Infect. 1989;  14 233-243
• 18 Klastersky J, Mombelli G, Coppens L, Daneau D, Brihaye J. Post neurosurgery gram-negative bacillary meningitis.  J Infect. 1981;  3 (Suppl 1) 45-51
• 19 Lee J J, Parry H. Bacterial meningitis following spinal anaesthesia for caesarean section.  Br J Anaesth. 1991;  66 383-386
• 20 Martin C, Thomachot L, Albanèse J. Iatrogenic and traumatic cerebromeningeal infections.  Rev Prat. 1994;  44 2207-2212
• 21 Newton J A, Lesnik J K, Kennedy Ch A. Streptococcus salivarius meningitis following spinal anesthesia.  Clin Infect Dis. 1994;  18 840-841
• 22 Nguyen M H, Harris S P, Muder R R, Pasculle A W. Antibiotic-resistant acinetobacter meningitis in neurosurgical patients.  Neurosurgery. 1994;  35 851-855
• 23 Ohlmann D, Treib J, Hamann G F, Hermes M, Schimrigk K. Paravertebraler Abszeß mit sekundärer Meningomyelitis nach Infiltrationstherapie. Eine Kurz-Falldarstellung.  Wien Klin Wochenschr. 1996;  108 442-443
• 24 Pinczower G R, Gyorke A. Vertrebral osteomyelitis as a cause of back pain after epidural anesthesia.  Anesthesiology. 1996;  84 215-217
• 25 Raffi F, Jouan M, Espaze E P, Barrier J H. Méningite d' inoculation à Streptococcus mitis.  Presse Méd. 1988;  1737
• 26 Ready L B, Helfer D. Bacterial meningitis in parturients after epidural anesthesia.  Anesthesiology. 1989;  71 988-990
• 27 Rose H D. Pneumococcal meningitis following intrathecal injections.  Arch Neurol. 1966;  14 597-600
• 28 Schelkun S R, Wagner K F, Blanks J A, Reinert C M. Bacterial meningitis following pantopaque myelography. A case report and literature review.  Orthopedics. 1985;  8 73-76
• 29 Schlegel L, Merlet C, Laroche J M, Frémaux A, Geslin P. Iatrogenic meningitis due to Abiotrophia defectiva after myelography.  Clin Infect Dis. 1999;  28 155-156
• 30 Schlesinger J J, Salit J E, McCormack G. Streptococcal meningitis after myelography.  Arch Neurol. 1982;  39 576-577
• 31 Schneeberger P M, Jansen M, Voss A. Alpha-hemolytic streptococci: a major pathogen of iatrogenic meningitis following lumbar puncture. Case reports and review of the literature.  Infection. 1996;  24 29-33
• 32 Teele D W, Dashefsky B, Rakusan T, Klein J O. Meningitis after lumbar puncture in children with bacteremia.  N Engl J Med. 1981;  30 1079-1081
• 33 Torres E, Alba D, Frank A, Diez-Tejedor E. Iatrogenic meningitis due to Streptococcus salivarius following a spinal tap.  Clin Infect Dis. 1993;  17 525-526
• 34 Twyman R S, Robertson P, Thomas M G. Meningitis complicating spinal surgery.  Spine. 1996;  21 763-765
• 35 Veringa E, van Belkum A, Schellekens H. Iatrogenic meningitis by Streptococcus salivarius following lumbar puncture.  J Hosp Inf. 1995;  29 316-317
• 36 von Mühlendahl K E. Meningitis nach Lumbalpunktion.  Dtsch Med Wochenschr. 1986;  111 113-114
• 37 Watanakunakorn C, Stahl Ch. Streptococcus-salivarius meningitis following myelography.  Infect Contr Hosp Epid. 1992;  13 454
• 38 Watanakunakorn C, Stahl C J. Iatrogenic meningitis due to Streptococcus-salivarius.  Infect Contr Dis. 1994;  18 1022
• 39 Wee M. Meningitis after combined spinal-extradural anaesthesia in obstetrics.  Br J Anaesth. 1995;  74 351-352