Community-acquired Pseudomonas meningitis causes acute obstructive hydrocephalus.
BACKGROUND
Pseudomonas aeruginosa (PS) infection is serious in children and can cause malignant external otitis, endophthalmitis, endocarditis, meningitis, pneumonia, and septicemia (Huang et al. Pediatr Infect Dis J 1). The treatment of Pseudomonas infection requires prompt medical evaluation and appropriate antibiotic treatment.


METHODS
We report the case of a 6-month-old boy with an unusual presentation of acute obstructive hydrocephalus owing to Pseudomonas meningitis. Treatment with optimal antibiotic begun immediately after the pathogen was recognized and continued for 4 weeks. The patient received prompt surgical intervention for the complication of acute obstructive hydrocephalus.


CONCLUSIONS
The early stage of obstructive hydrocephalus caused by community-acquired Pseudomonas is rare and should be immediately detected.
Lin
Jainn-Jim
JJ
Division of Pediatric Critical and Emergency Medicine, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Wu
Chang-Teng
CT
Hsia
Shao-Hsuan
SH
Lin
Kuang-Lin
KL
Chiu
Cheng-Hsun
CH
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D002545:Brain Ischemia / Q000209:etiology / Q000473:pathology; D017714:Community-Acquired Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000188:drug therapy; D011552:Pseudomonas Infections / Q000150:complications* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents