Purulent meningitis after endoscopic injection sclerotherapy for esophageal varices.
A 57-year-old man with liver cirrhosis developed alpha-hemolytic streptococcal meningitis following endoscopic injection sclerotherapy for esophageal varices. Central nervous system infection is uncommon as a complication of sclerotherapy, however, when such an infection does develop, it is usually intractable. We therefore emphasize the importance of immediate antibiotic therapy right after the onset of inflammatory symptoms in order to prevent the development of undesired infectious complications following sclerotherapy.
Department of Cerebrovascular Disease, St. Mary's Hospital, Kurume.
K
K
Toyoda
Y
Y
Saku
S
S
Sadoshima
M
M
Fujishima
D000667:Ampicillin / Q000627:therapeutic use; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D008875:Middle Aged; D009829:Oleic Acids / Q000627:therapeutic use; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000009:adverse effects*; D013290:Streptococcal Infections / Q000188:drug therapy / Q000209:etiology*; D013291:Streptococcus / Q000302:isolation & purification*
D009829:Oleic Acids; D012597:Sclerosing Solutions; D000667:Ampicillin; C033343:ethanolamine oleate