Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus

Joint Authors

Parr, C. J.
Wheeler, J.
Sharma, A.
Smith, C.

Source

Case Reports in Infectious Diseases

Issue

Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2017-05-08

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Diseases

Abstract EN

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.

American Psychological Association (APA)

Parr, C. J.& Wheeler, J.& Sharma, A.& Smith, C.. 2017. Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus. Case Reports in Infectious Diseases،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1146441

Modern Language Association (MLA)

Parr, C. J.…[et al.]. Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus. Case Reports in Infectious Diseases No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1146441

American Medical Association (AMA)

Parr, C. J.& Wheeler, J.& Sharma, A.& Smith, C.. Spontaneous Nosocomial Pseudomonas aeruginosa Meningitis Presenting as Trismus. Case Reports in Infectious Diseases. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1146441

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1146441