Harb Hussein, Al-Obaidi Hasan, Irannejad Kyvan, Bagheri Farshad
Basic Sciences, Ross University School of Medicine, Bridgetown, BRB.
Internal Medicine, Jamaica Hospital Medical Center, New York, USA.
Cureus. 2024 May 5;16(5):e59689. doi: 10.7759/cureus.59689. eCollection 2024 May.
We present a rare case of meningitis in a 51-year-old immunocompetent woman after surgical resection of a fourth ventricle ganglioma. Notably, the patient had no history of sinusitis or otitis media, which are typical predisposing factors for infection. She developed symptoms including headache, altered mental status, and neurological deficits three days post discharge, leading to her diagnosis confirmed by cerebrospinal fluid culture. This case highlights the diagnostic challenges and management complexities of atypical meningitis post neurosurgery. The occurrence emphasizes the necessity of considering in differential diagnoses, particularly following neurosurgical procedures. This instance contributes to the scarce documentation of such infections in immunocompetent adults, underscoring the importance of vigilant microbiological evaluation and tailored antimicrobial therapy in postoperative settings.
我们报告了一例罕见的病例,一名51岁免疫功能正常的女性在接受第四脑室神经节细胞瘤手术切除后发生了脑膜炎。值得注意的是,该患者无鼻窦炎或中耳炎病史,而这两种疾病是感染的典型易感因素。出院三天后,她出现了头痛、精神状态改变和神经功能缺损等症状,脑脊液培养确诊了她的病情。该病例凸显了神经外科手术后非典型脑膜炎的诊断挑战和管理复杂性。这一病例的发生强调了在鉴别诊断中考虑此类情况的必要性,尤其是在神经外科手术后。此病例为免疫功能正常的成年人中此类感染的稀缺文献提供了补充,强调了术后进行警惕的微生物学评估和定制抗菌治疗的重要性。