Author/Authors :
Rafiei Tabatabei, Sedigheh Pediatric Infections Research Center - Research Institute for Children Health - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Azma, Roxana Department of Radiology - Mofid Children’s Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Kahbazi, Manigeh Infectious Diseases Research Center (IDRC) - Arak University of Medical Sciences, Arak, Ira , Farzan, Abdonaser Department of Neurosurgery - Shahid Beheshti University of Medical Sciences, Tehran, Iran , KAZEMI AGHDAM, Maryam Pediatric Pathology Research Center - Mofid Children’s Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran , SEIFI, Kimia Young Researchers and Elite Club - Roudehen Branch - Islamic Azad University, Roudehen, Iran , NAHANMOGHADDAM, Negin Department of Pediatrics - Bouali Children’s Hospital - School of Medicine - Ardabil University of Medical Sciences, Ardabil, Iran
Abstract :
Gram-negative meningitis can occurssubsequent to dura-arachnoid
barrier disruption because of trauma, surgery and rarely an infected
dermoid cyst. Association of neurosurgical procedures with Gramnegative
meningitis was described for the first time in 1940. Intracranial
infections from gram-negative bacilli like Enterobacter are serious
and difficult to treat as many antibiotics fail to achieve bactericidal
concentrations in the cerebrospinal fluid. Here in, we report a rare case
of pediatric Enterobacter meningitis in a patient with a dermoid cyst
that had been manipulated. She was managed with antibiotic therapy
plus surgical removal of the infected cyst
Keywords :
Meningitis , Enterobacter , Antibacterial agents , Dermoid cyst
