title: [Cerebrospinal fluid rhinorrhea and Streptococcus equisimilis-related meningitis 16 years after a head injury].
abstract: A case of meningitis caused by Streptococcus Equisimilis and cerebrospinal fluid rhinorrhea, in which the head trauma occurred 16 years before, is presented. To the best of the author's knowledge this is the first case reported with such characteristics. Several precipitating factors could be responsible for the unusually late reopening of the fistula Streptococci equisimilis is an uncommon cause of the bacteremia. An appropriate antimicrobrial therapy against S. Equisimilis followed by surgical dural repair were performed.
mesh_terms: D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002439:Cefotaxime / Q000627:therapeutic use; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005625:Frontal Lobe / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D013291:Streptococcus / Q000145:classification / Q000302:isolation & purification*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D014640:Vancomycin; D002439:Cefotaxime
vernacular_title: Fístula de líquido cefalorraquídeo y meningitis por estreptococo equisimilis 16 años después de un traumatismo craneoencefálico.