Nosocomial meningitis

被引：1
作者：
Thomas P. Bleck
机构：
[1] Evanston Northwestern Healthcare,Department of Neurology
来源：
Current Infectious Disease Reports | 2007年 / 9卷 / 1期
关键词：
Meningitis; Bacterial Meningitis; Viral Meningitis; Acute Bacterial Meningitis; Nuchal Rigidity;
D O I：
10.1007/s11908-007-0014-3
中图分类号：
学科分类号：
摘要：
The suspicion of meningitis in a patient hospitalized for another condition remains a vexing clinical problem. The abrupt onset of typical signs and symptoms of acute bacterial meningitis in someone with a previously normal mental status is very unusual, and when it occurs, it does not pose a diagnostic challenge. Concern for the possibility of nosocomial meningitis is much more common in patients who already have altered mental status and then may develop fever, or in whom immunosuppression or concurrent medications may have blunted or suppressed pyrexia.
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页数：1
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[1]  
Jackson W.L.(2006)The yield of lumbar puncture to exclude nosocomial meningitis as aetiology for mental status changes in the medical intensive care unit Anaesth Intensive Care 34 21-24
[2]  
Shorr A.F.(2005)Nosocomial blood-stream infections caused by Streptococcus pneumoniae Clin Microbiol Infect 11 919-924
[3]  
Bouza E.(2002)The diagnostic accuracy of Kernig’s sign, Brudzinski’s sign, and nuchal rigidity in adults with suspected meningitis Clin Infect Dis 35 46-52
[4]  
Pintado V.(1995)Bacterial meningitis: causes for concern J Infect 30 89-94
[5]  
Rivera S.(2004)Practice guidelines for the management of bacterial meningitis Clin Infect Dis 39 1267-1284
[6]  
Thomas K.E.(2006)Nosocomial postsurgical meningitis in children: a 12-year survey comparing data from 1993–1998 with data from 1999–2004 Infect Control Hosp Epidemiol 27 788-790
[7]  
Hasbun R.(2006)Nosocomial meningitis in a university hospital between 1993 and 2002 J Hosp Infect 62 94-97
[8]  
Jekel J.(2006)Post-surgical enterococcal meningitis: clinical and epidemiological study of 20 cases Scand J Infect Dis 38 584-588
[9]  
Quagliarello V.J.(2003)Subarachnoid hemorrhage: a multiple-organ system disease Crit Care Med 31 1884-1885
[10]  
Tunkel A.R.(2006)Distinguishing bacterial from viral meningitis: the critical importance of the CSF lactic acid levels Intensive Care Med 32 1272-1273
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