PSEUDOMONAS AERUGINOSA MENINGITIS FOLLOWING SPINAL ANESTHESIA: REPORT OF TWO SUCCESSFULLY TREATED CASES
Authors: B H PASTOR, W I GEFTER, S BAER
Journal: Annals of Internal Medicine (1951)

Case Reports1 November 1951PSEUDOMONAS AERUGINOSA MENINGITIS FOLLOWING SPINAL ANESTHESIA: REPORT OF TWO SUCCESSFULLY TREATED CASESBERNARD H. PASTOR, M.D., WILLIAM I. GEFTER, M.D., F.A.C.P., SAMUEL BAER, M.D., F.A.C.P.BERNARD H. PASTOR, M.D.Search for more papers by this author, WILLIAM I. GEFTER, M.D., F.A.C.P.Search for more papers by this author, SAMUEL BAER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-35-5-1137 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMeningitis due to Pseudomonas aeruginosa (B. pyocyaneus) is rare. At the Philadelphia General Hospital during the 10 year period 1939 to 1949, only one meningeal infection with this organism (in association with a brain abscess) has been observed. The organism has been reported in spinal fluid culture as a contaminant on four other occasions. During the same period, there were 429 cases of meningococcic meningitis, 215 cases of pneumococcic meningitis, 26 cases of Hemophilus influenzae meningitis and 133 acute meningitides of other etiology.Stanley,1in his extensive review ofBacillus pyocyaneusinfections, cited 41 cases of primaryB. pyocyaneusmeningitis...Bibliography1. Stanley MM: Bacillus pyocyaneus infections. A review, report of cases and discussion of newer therapy including streptomycin, Am. J. Med. 2: 253-277 and 347-367, 1947. CrossrefMedlineGoogle Scholar2. HarrisBuxbaumApplebaum RCLE: Secondary Bacillus pyocyaneus infection in meningitis following intrathecal penicillin therapy, J. Lab. and Clin. Med. 31: 1113-1120, 1946. MedlineGoogle Scholar3. CairnsDuthieSmith MESHV: Intrathecal streptomycin in meningitis. Clinical trial in tuberculous, coliform and other infections, Lancet 2: 153-155, 1946. CrossrefMedlineGoogle Scholar4. MerwarthRosenbergPulito HRMF: Pyocyaneus meningitis followed by unusual complications attributed to treatment with streptomycin, Brooklyn Hosp. J. 5: 93-96, 1947. MedlineGoogle Scholar5. PaineMurraySeelerFinland TERAOM: Streptomycin in the treatment of meningitis: report of 27 cases treated at the Boston City Hospital, Ann. Int. Med. 27: 494-518, 1947. LinkGoogle Scholar6. WeinsteinPerrin LTS: Meningitis due to Pseudomonas pyocyanea: a report of 3 cases treated successfully with streptomycin and sulfadiazine, Ann. Int. Med. 29: 103-117, 1948. LinkGoogle Scholar7. Evans FT: Infection from spinal anesthesia: a warning, Lancet 1: 115, 1945. CrossrefGoogle Scholar8. Henshaw HC: Clinical administration of dihydrostreptomycin in tuberculosis: preliminary report, Am. Rev. Tuberc. 58: 525-530, 1948. MedlineGoogle Scholar9. Report of Council on Pharmacy and Chemistry of the American Medical Association: Streptomycin in the treatment of tuberculosis, J. A. M. A. 138: 584-593, 1948. MedlineGoogle Scholar10. The Committee on Chemotherapeutics and Other Agents, National Research Council: Streptomycin in the treatment of infections, J. A. M. A. 132: 4-11, 70-77, 1946. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication August 27, 1949.From the Medical Division, Philadelphia General Hospital, and the Department of Medicine, Woman's Medical College of Pennsylvania, Philadelphia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byStreptococcus salivarius meningitis: a case report and literature reviewGram-negative Bacillary MeningitisBacterial Meningitis Following Pantopaque Myelography: A Case Report and Literature ReviewHospital-acquired bacterial meningitis in neurosurgical patientsTreatment of Gram-Negative Bacillary Meningitis in AdultsJAMES J. RAHAL JR., M.D., F.A.C.P. 1 November 1951Volume 35, Issue 5Page: 1137-1143KeywordsAbscessesAnesthesiaBacillusBrainEtiologyHaemophilus influenzaeHospital medicineMeningitisPseudomonas aeruginosa Issue Published: 1 November 1951 PDF downloadLoading ...