Concurrent tubercular and staphylococcus meningitis in a child

• 作 者: Amit Agrawal
• 机 构: Clinical and Administrative,HeadDivision of Neurosurgery,Datta Meghe Institute of Medical Sciences,S
• 出 处: Asian Pacific Journal of Tropical Medicine
• 发表日期: 2009年04期
• 关键词: meningitis staphylococcus concurrent warrants mortality aggressive challenge dia

Spontaneous,non-surgical haematogenous Staphylococcus aureus meningitis is rare and associated with high mortality.Mixed infection causing meningitis(pyogenic and tubercular) is further rarer,poses a difficult diagnostic and management challenge,which warrants early diagnosis and aggressive therapy.We present a case of concurrent pyogenic and tubercular meningitis in a child managed successfully.It seems that in present case initial pyogenic infection resulted in the immunocompromised state for the child that would had lead to the activation of tubercular foci resulting in tubercular meningitis.

Spontaneous, non-surgical haematogenous Staphylococcus aureus meningitis is rare and associated with high mortality. Mixed infection causing meningitis (pyogenic and tubercular) is further rarer, poses a difficult diagnostic and management challenge, which warrants early diagnosis and aggressive therapy. We present a case of concurrent pyogenic and tubercular meningitis in a child managed successfully. It seems that in present case initial pyogenic infection resulted in the immunocompromised state for the child that would had lead to the activation of tubercular foci resulting in tubercular meningitis.