Dementia and capsular genu ischemia in patients with severe bacterial meningitis
Neurological Sciences, 11/02/2009
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Naito M et al. – In patients with severe bacterial meningitis, capsular genu ischemia may play some role in the development of post–meningitis dementia. In patients with viral meningitis, absence of such ischemia may explain, at ... meningitis dementia.
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Post-neurosurgical multidrug-resistant Acinetobacter baumannii meningitis successfully treated with intrathecal colistin. A new case and a systematic review of the literature
International Journal of Infectious Diseases, 11/16/2009
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Cascio A et al. – Post–neurosurgical nosocomial meningitis has become an important subgroup of bacterial meningitis in the hospital setting. The ... man with a complex craniofacial trauma, who developed a nosocomial meningitis due to MDR A. baumannii that was cured by intrathecal colistin. The case is contextualized among all the published cases of Acinetobacter meningitis treated with topical colistin found through a MEDLINE search of the ... meningitis
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Costs for Households and Community Perception of Meningitis Epidemics in Burkina Faso
Clinical Infectious Diseases, 10/28/2009
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Colombini A et al. – Respondents reported combining traditional and modern beliefs regarding disease etiology, which in turn influenced therapeutic care–seeking behavior. Households spent US $90 per meningitis case, or 34% of the ... domestic product per capita, and up to US $154 more when meningitis sequelae occurred. Much of this cost was attributable to direct medical expenses, which in theory are paid by the government. Preventive immunization against meningitis will overcome limitations imposed by traditional beliefs and ... cns infectious disease
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Corticosteroids (dexamethasone versus intravenous methylprednisolone) in patients with tuberculous meningitis
Annals of Tropical Medicine and Parasitology, 10/15/2009
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Malhotra HS et al. – In an open–label study in India, 97 patients with such meningitis were randomized into a control group, a dexamethasone group (with the drug given intravenously once a day ... equally reported in the two corticosteroid groups. Larger trials are still needed to determine if dexamethasone and/or methylprednisolone are useful in the treatment of tuberculous meningitis, at least in India.
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Prevalence and antimicrobial resistance pattern of bacterial meningitis in Egypt
Annals of Clinical Microbiology and Antimicrobials, 10/13/2009
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Shaban L et al. – This article addresses profound bacterial agents causing a wide array of infections including but not limited to pneumonia and meningitis. The epidemiology of such infectious diseases and the prevalence ... and Haemophilus influenzae are reviewed in the context of bacterial meningitis. The authors address prevalent serotypes in Egypt, antimicrobial resistance patterns and efficacy of vaccines to emphasize the importance of periodic surveillance for appropriate preventive and treatment strategies ... neuro/psych pharmacology
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Adhesion molecule levels in serum and cerebrospinal fluid in children with bacterial meningitis and sepsis
Journal of Pediatric Neurosciences, 11/03/2009
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Jaber SM et al. – This study supports the role of adhesion molecules especially sL–selectin, sVCAM–1 in meningitis and suggests further research to determine their use as biomarkers for meningitis and use of their antagonists as ... The presence of discrepancy of CSF/serum ratios for molecules of same molecular weight suggest intrathecal shedding in addition to diffusion through the blood–CSF barrier.
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Oxidative stress and S-100B protein in children with bacterial meningitis
BMC Neurology, 10/15/2009
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Hamed SA et al. – This study suggests that loss of integrity of brain–CSF barriers, oxidative stress and S–100B may contribute to the severity and neurological complications of bacterial meningitis.
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The prognostic value of amplitude integrated EEG in neonatal sepsis and/or meningitis
Acta Pediatrica, 11/19/2009
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Horst HJT et al. – Low voltage background pattern, SWC and EA on aEEG are helpful to predict neurological outcome in infants with neonatal sepsis or meningitis.
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Immunological and Biochemical Correlates of Adjunctive Dexamethasone in Vietnamese Adults with Bacterial Meningitis
Clinical Infectious Diseases, 10/14/2009
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Mai NTH et al. – Among Vietnamese patients with bacterial meningitis, cerebrospinal fluid (CSF) opening pressure and CSF:plasma glucose ratios were significantly improved and ... after treatment in patients who were randomized to dexamethasone, compared with levels in patients who received placebo.
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Therapy of community-acquired acute bacterial meningitis: the clock is running
Expert Opinion in Pharmacotherapy, 10/20/2009
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Klein M et al. – Despite antibiotic therapy and supportive intensive medical care, bacterial meningitis remains a disease with high mortality and morbidity. Rapid recognition of symptoms is crucial to direct ... and, initially, empiric antibiotic therapy. It has become evident that time from arrival at the hospital to application of the first dose of antibiotics is a crucial independent factor that influences outcome.
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