Post-operative meningitis caused by drug-resistant Streptococcus pneumoniae: two case reports.
We report 2 patients with post-operative meningitis caused by drug-resistant Streptococcus pneumoniae (DRSP), following correction of frontoethmoidal encephalomeningocele in 1 patient and adenotonsillectomy in the other. Both patients responded well to vancomycin plus cefotaxime. DRSP may be colonized in the upper respiratory tract and causes serious infections after surgical operation.
Infectious Diseases Unit, Department of Paediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. chitsanu.p@chula.ac.th
Chitsanu
C
Pancharoen
Wiroje
W
Pongpunlert
Sasithorn
S
Likitnukul
Usa
U
Thisyakorn
D000900:Anti-Bacterial Agents; D002675:Child, Preschool; D024881:Drug Resistance, Bacterial; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D008826:Microbial Sensitivity Tests; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology*; D012307:Risk Factors; D013296:Streptococcus pneumoniae / Q000187:drug effects / Q000302:isolation & purification*; D013785:Thailand; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents