An unusual Case of Meningitis

Pasteurella multocida is a rare cause of bacterial meningitis. A 56-year-old man with several pets developed a profoundly decreased level of consciousness following left tympanomastoidectomy. Lumbar puncture produced cerebrospinal fluid with the typical findings of meningitis (low glucose, high prot...

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Main Authors: Eric DR Pond, Sameh El-Bailey, Duncan Webster
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2015/262479
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author Eric DR Pond
Sameh El-Bailey
Duncan Webster
author_facet Eric DR Pond
Sameh El-Bailey
Duncan Webster
author_sort Eric DR Pond
collection DOAJ
description Pasteurella multocida is a rare cause of bacterial meningitis. A 56-year-old man with several pets developed a profoundly decreased level of consciousness following left tympanomastoidectomy. Lumbar puncture produced cerebrospinal fluid with the typical findings of meningitis (low glucose, high protein, high leukocytes). Cultures from the cerebrospinal fluid and a swab of the left ear revealed Gram-negative coccobacillus identified as P multocida. The organism was sensitive to ceftriaxone, ampicillin and penicillin, and a 14-day course of intravenous penicillin was used as definitive treatment, resulting in full recovery. Although rare, P multocida should be considered as a potential cause of meningitis in patients with animal exposure, particularly in the setting of recent cranial surgery.
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-fb1d3def58ae469c910d4da148110cb02025-08-20T03:25:56ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322015-01-01263e62e6410.1155/2015/262479An unusual Case of MeningitisEric DR Pond0Sameh El-Bailey1Duncan Webster2Dalhousie University, CanadaDalhousie University, CanadaInternal Medicine/Medical Microbiology, Dalhousie University, CanadaPasteurella multocida is a rare cause of bacterial meningitis. A 56-year-old man with several pets developed a profoundly decreased level of consciousness following left tympanomastoidectomy. Lumbar puncture produced cerebrospinal fluid with the typical findings of meningitis (low glucose, high protein, high leukocytes). Cultures from the cerebrospinal fluid and a swab of the left ear revealed Gram-negative coccobacillus identified as P multocida. The organism was sensitive to ceftriaxone, ampicillin and penicillin, and a 14-day course of intravenous penicillin was used as definitive treatment, resulting in full recovery. Although rare, P multocida should be considered as a potential cause of meningitis in patients with animal exposure, particularly in the setting of recent cranial surgery.http://dx.doi.org/10.1155/2015/262479
spellingShingle Eric DR Pond
Sameh El-Bailey
Duncan Webster
An unusual Case of Meningitis
Canadian Journal of Infectious Diseases and Medical Microbiology
title An unusual Case of Meningitis
title_full An unusual Case of Meningitis
title_fullStr An unusual Case of Meningitis
title_full_unstemmed An unusual Case of Meningitis
title_short An unusual Case of Meningitis
title_sort unusual case of meningitis
url http://dx.doi.org/10.1155/2015/262479
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