Extended-spectrum Beta-lactamase-producing Escherichia coli Meningitis That Developed from Otitis Media with Cholesteatoma

被引：4

作者：

Tosa, Motofumi ^{[1
]}

Aihara, Masako ^{[1
]}

Murakami, Junko ^{[1
]}

机构：

[1] Saitama Cooperat Hosp, Kawaguchi, Saitama, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 21期

关键词：

bacterial meningitis; ESBL-producing E. coli; otitis media with cholesteatoma; KLEBSIELLA-PNEUMONIAE; RISK-FACTORS; FECAL CARRIAGE; RESISTANCE; ENTEROBACTERIACEAE; GUIDELINES; MANAGEMENT; INFECTION;

D O I：

10.2169/internalmedicine.0795-18

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 78-year-old man had a fever and exhibited disordered consciousness, which led to his transportation to our hospital. On arrival, he exhibited discharge from the ear. Because extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli was detected in the ear discharge and cerebrospinal fluid specimens, it was inferred to be the causal bacteria. Pulsed-field gel electrophoresis indicated the same ESBL-producing E. coli pattern in the patient's ear discharge, external auditory canal granulation, cerebrospinal fluid, and stool, indicating their common molecular epidemiological origin. Although ESBL-producing E. coli is an extremely rare cause of bacterial meningitis, it should be considered as a potential causal bacteria for community-acquired meningitis.

引用

页码：3199 / 3204

页数：6

共 34 条

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