Clairmont A A, Nicholson W L, Turner J S
Laryngoscope. 1975 Jun;85(6):1076-83. doi: 10.1288/00005537-197506000-00017.
Meningitis is a rare complication following stapedectomy. Most cases are preceeded by a fistula in the oval window. Although fatalities have been reported, most cases respond to parenteral and intrathecal antibiotics if diagnosed and treated early. Gram-positive organisms are the usual pathogens, but Gram-negative organisms may be found, especially as a superinfection following antibiotics administered prophylacticly or for the treatment of otitis media or mastoiditis. A case of Pseudomonas aeruginosa meningitis five weeks after stapedectomy, successfully treated with gentamicin, is reported. The discussion included the diagnosis of post-stapedectomy fistula and meningitis and current trends in treatment.
脑膜炎是镫骨切除术后一种罕见的并发症。大多数病例之前存在卵圆窗瘘。尽管有死亡病例的报道，但如果早期诊断并治疗，大多数病例对抗生素的胃肠外和鞘内给药有反应。革兰氏阳性菌是常见病原体，但也可能发现革兰氏阴性菌，特别是在预防性使用抗生素或治疗中耳炎或乳突炎后发生的二重感染时。本文报告了1例镫骨切除术后5周发生铜绿假单胞菌脑膜炎，经庆大霉素成功治疗的病例。讨论内容包括镫骨切除术后瘘和脑膜炎的诊断以及当前的治疗趋势。
