Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus
We describe the case of a 78-year-old female receiving adjuvant postsurgical chemotherapy for colon adenocarcinoma who spontaneously developed nosocomial Pseudomonas meningitis causing severe trismus. The patient was initially admitted for ileus, developing neck stiffness and trismus on the thirteen...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2017/8705860 |
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| author | C. J. Parr J. Wheeler A. Sharma C. Smith |
| author_facet | C. J. Parr J. Wheeler A. Sharma C. Smith |
| author_sort | C. J. Parr |
| collection | DOAJ |
| description | We describe the case of a 78-year-old female receiving adjuvant postsurgical chemotherapy for colon adenocarcinoma who spontaneously developed nosocomial Pseudomonas meningitis causing severe trismus. The patient was initially admitted for ileus, developing neck stiffness and trismus on the thirteenth day of admission. Cerebrospinal fluid grew pansensitive Pseudomonas aeruginosa. Magnetic resonance imaging of the brain was consistent with bilateral subacute infarcts secondary to meningitis. The patient responded well to 21 days of broad spectrum antimicrobial therapy modified to ceftazidime alone following speciation and sensitivity. Outpatient follow-up at 46 days revealed normal maximal mouth opening with the ability to chew and tolerate a full diet. Trismus is a motor disturbance of the trigeminal nerve with difficulty in opening the mouth. Infectious etiologies commonly described include tetanus, odontogenic infections, or deep neck space infections. This is the first reported case of simultaneous nosocomial Pseudomonas meningitis and trismus in a patient with no history of neurosurgery or lumbar spinal manipulation. |
| format | Article |
| id | doaj-art-623ad24935ba433da1a5d615b939fc41 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-623ad24935ba433da1a5d615b939fc412025-02-03T01:25:03ZengWileyCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/87058608705860Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as TrismusC. J. Parr0J. Wheeler1A. Sharma2C. Smith3Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, CanadaDepartment of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, CanadaSection of General Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, CanadaSection of Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, CanadaWe describe the case of a 78-year-old female receiving adjuvant postsurgical chemotherapy for colon adenocarcinoma who spontaneously developed nosocomial Pseudomonas meningitis causing severe trismus. The patient was initially admitted for ileus, developing neck stiffness and trismus on the thirteenth day of admission. Cerebrospinal fluid grew pansensitive Pseudomonas aeruginosa. Magnetic resonance imaging of the brain was consistent with bilateral subacute infarcts secondary to meningitis. The patient responded well to 21 days of broad spectrum antimicrobial therapy modified to ceftazidime alone following speciation and sensitivity. Outpatient follow-up at 46 days revealed normal maximal mouth opening with the ability to chew and tolerate a full diet. Trismus is a motor disturbance of the trigeminal nerve with difficulty in opening the mouth. Infectious etiologies commonly described include tetanus, odontogenic infections, or deep neck space infections. This is the first reported case of simultaneous nosocomial Pseudomonas meningitis and trismus in a patient with no history of neurosurgery or lumbar spinal manipulation.http://dx.doi.org/10.1155/2017/8705860 |
| spellingShingle | C. J. Parr J. Wheeler A. Sharma C. Smith Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus Case Reports in Infectious Diseases |
| title | Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus |
| title_full | Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus |
| title_fullStr | Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus |
| title_full_unstemmed | Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus |
| title_short | Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus |
| title_sort | spontaneous nosocomial pseudomonas aeruginosa meningitis presenting as trismus |
| url | http://dx.doi.org/10.1155/2017/8705860 |
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