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Citrobacter koseri meningitis: A neurosurgical condition?

2009; Elsevier BV; Volume: 14; Issue: 4 Linguagem: Inglês

10.1016/j.ejpn.2009.08.002

1532-2130

Juan F. Martínez-Lage, Laura Martínez-Lage Azorín, María José Almagro, María Encarnación Bastida, Susana Reyes, Cinthia Tellez,

Amoebic Infections and Treatments

A 2-month-old girl developed meningitis, ventriculitis and brain abscess in the course of Citrobacter koseri infection. She was successfully treated with the combined use of antibiotics, intra-cavitary urokinase and surgery, thus avoiding the development of hydrocephalus and of ventricular loculation. C. koseri is a Gram-negative pathogen with a strong predilection for the neonatal brain. Brain abscesses develop in roughly 77% of cases, causing severe neurological sequels in one-half and death in one-third of patients. The authors aim to report the role of neurosurgical treatment for managing the severe complications that may arise in the course of C. koseri brain infection and the use of urokinase for preventing the development of loculated hydrocephalus.