Trautmann M, Brückner O, Kluge W, Loddenkemper R
Immun Infekt. 1984 Aug;12(4):309-13.
The improvement of bacteriological techniques for isolation and identification of anaerobes has led to an increased interest in anaerobic infections. However, anaerobes have only rarely been found in cases of purulent meningitis, representing less than 1 percent of all isolated pathogens. We observed anaerobic meningitis in a patient suffering from multiple lung abscesses from which anaerobic bacteria spread to the brain, causing formation of anaerobic brain abscesses and consecutive meningitis. Microbiological examinations for anaerobes should be performed in those cases of meningitis in which purulent infections of other organs with known or suspected anaerobic etiology are present or in which a traumatic lesion of the subarachnoid space has preceded the development of meningitis.
用于分离和鉴定厌氧菌的细菌学技术的改进，引发了人们对厌氧感染的更多关注。然而，在化脓性脑膜炎病例中，厌氧菌很少被发现，占所有分离出的病原体的比例不到1%。我们观察到一名患有多发性肺脓肿的患者发生了厌氧性脑膜炎，厌氧细菌从肺部扩散到脑部，导致厌氧性脑脓肿形成并继而引发脑膜炎。对于那些存在已知或疑似厌氧病因的其他器官化脓性感染的脑膜炎病例，或者在脑膜炎发生之前存在蛛网膜下腔创伤性病变的病例，应进行厌氧菌的微生物学检查。
