[A case of bacterial meningitis caused by methicillin-resistant Staphylococcus lugdunensis after surgery]

Rinsho Shinkeigaku. 2016 Nov 29;56(11):773-776. doi: 10.5692/clinicalneurol.cn-000901. Epub 2016 Oct 21.
[Article in Japanese]

Abstract

An 51-year-old man had undergone surgery for Rathke's cleft cyst by transsphenoidal approach on October 2015. After the surgery, cerebrospinal fluid (CSF) rhinorrhea arose. Surgical treatment of CSF rhinorrhea was performed by the same approach. Ten days after reoperation, he suffered from severe headache, high fever, and nuchal rigidity. CSF findings indicated bacterial meningitis. CSF culture showed methicillin-resistant Staphylococcus lugdunensis. He received vancomycin intravenously for 19 days and recovered from the bacterial meningitis with no serious complication.

Publication types

  • Case Reports

MeSH terms

  • Central Nervous System Cysts / surgery
  • Cerebrospinal Fluid Rhinorrhea / surgery
  • Humans
  • Infusions, Intravenous
  • Male
  • Meningitis, Bacterial / diagnosis
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / microbiology*
  • Methicillin-Resistant Staphylococcus aureus* / isolation & purification
  • Middle Aged
  • Postoperative Complications / diagnosis
  • Postoperative Complications / microbiology*
  • Postoperative Complications / therapy
  • Staphylococcal Infections*
  • Treatment Outcome
  • Vancomycin / administration & dosage

Substances

  • Vancomycin