title: Staphylococcal meningitis following Synchromed intrathecal pump implant: a case report.
abstract: Staphylococcal meningitis associated with implantation of an intrathecal drug pump for spasticity was successfully treated by intrathecal vancomycin delivered by the same pump. This produced high CSF antibiotic levels, and the pump and catheter system did not have to be removed. We are unable to identify a similar case reported in the literature to date.
authors.affiliation: MacMillan Registrar in Palliative Medicine, St. James University Hospital, Leeds LS9 7TF UK West Midlands Regional Pain Relief Unit, Guest Hospital, Dudley DY1 4SE UK Department of Microbiology, Russells Hall Hospital, Dudley DY1 2HQ UK.
authors.forename: M I
authors.initials: MI
authors.lastname: Bennett
authors.forename: Y M A
authors.initials: YMA
authors.lastname: Tai
authors.forename: J M
authors.initials: JM
authors.lastname: Symonds
mesh_terms: D000293:Adolescent; D001418:Baclofen / Q000008:administration & dosage / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000150:complications; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects*; D007278:Injections, Spinal; D008297:Male; D016920:Meningitis, Bacterial / Q000134:cerebrospinal fluid / Q000188:drug therapy / Q000209:etiology*; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D013203:Staphylococcal Infections / Q000134:cerebrospinal fluid / Q000188:drug therapy / Q000209:etiology*; D013212:Staphylococcus epidermidis; D014640:Vancomycin / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D014640:Vancomycin; D001418:Baclofen