Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2025-01-03T22:15:31.868Z Has data issue: false hasContentIssue false
  • English
  • Français

Meningitis Due to Enterobacter aerogenes Subsequent to Resection of Acoustic Neuroma and Percutaneous Endoscopic Gastrostomy Tube Placement: A Rare Nosocomial Event

Published online by Cambridge University Press:  02 January 2015

David M. Poetker ,
Charles E. Edmiston ,
Michelle M. Smith ,
Glenn A. Meyer  and
Phillip A. Wackym
David M. Poetker
Affiliation:
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin
Charles E. Edmiston
Affiliation:
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin
Michelle M. Smith
Affiliation:
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin Department of Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin
Glenn A. Meyer
Affiliation:
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin
Phillip A. Wackym*
Affiliation:
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin
*
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, 9200 West Wisconsin Ave., Milwaukee, WI53226
Get access Rights & Permissions [Opens in a new window]

Abstract

We present a case of meningitis after percutaneous endoscopic gastrostomy (PEG) tube placement subsequent to acoustic neuroma resection and cranioplasty. Four days following PEG tube placement the patient developed Enterobacter aerogenes meningitis, requiring explantation of infected cranioplasty material. His condition subsequently improved. Etiology and future intervention strategies are discussed (Infect Control Hosp Epidemiol 2003;24:780-782).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 24 , Issue 10 , October 2003 , pp. 780 - 782
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Korinek, AM. Risk factors for neurosurgical site infections after craniotomy: a prospective multicenter study of 2944 patients. Neurosurgery 1997;41:1073–1079.CrossRefGoogle ScholarPubMed
2.Dettenkofer, M, Ebner, W, Hans, FJ, et al.Nosocomial infections in a neurosurgery intensive care unit. Acta Neurochir (Wien) 1999;141:1303–1308.CrossRefGoogle Scholar
3.Kastenbauer, S, Winkler, F, Fesl, G, et al.Acute severe spinal cord dysfunction in bacterial meningitis in adults. Arch Neurol 2001;58:806–810.CrossRefGoogle ScholarPubMed
4.Mamel, JJ. Percutaneous endoscopic gastrostomy. Am J Gastroenterol 1989;84:703–710.Google Scholar
5.Abuksis, G, Melli, M, Segal, N, et al.Percutaneous endoscopic gastrostomy: high mortality rates in hospitalized patients. Am J Gastroenterol 2000;95:128–132.Google Scholar
6.Dormann, AJ, Wigginghause, B, Risius, H, et al.A single dose of ceftriaxone administered 30 minutes before percutaneous endoscopic gastrostomy significantly reduces local and systemic infective complications. Am J Gastroenterol 1999;94:3220–3224.CrossRefGoogle ScholarPubMed
7.Gower, DJ, Barrows, AS, Kelly, DL, et al.Gram-negative bacillary meningitis in the adult: a review of 39 cases. South Med J 1986;79:1499–1502.Google Scholar