title: Pneumocephalus and pneumococcal meningitis after thoracic surgery.
abstract: A 62-year-old man with adenocarcinoma underwent complete resection with a right upper lobectomy and en-bloc resection of the chest wall, with metallic clips applied to the vertebral nerve roots. A sudden deterioration in neurological status occurred due to pneumocephalus and ascending bacterial meningitis resulting from a subarachnoid-pleural fistula. The neurological status normalized after thoracoplasty and ceftriaxone treatment.
authors.affiliation: Infectious Diseases Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
authors.forename: Sandra
authors.initials: S
authors.lastname: Asner
authors.forename: Caroline
authors.initials: C
authors.lastname: Chapuis-Taillard
authors.forename: Hans-Beat
authors.initials: HB
authors.lastname: Ris
authors.forename: Michel
authors.initials: M
authors.lastname: Gonzalez
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002443:Ceftriaxone / Q000627:therapeutic use; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008586:Meningitis, Pneumococcal / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D010995:Pleural Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011007:Pneumocephalus / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011013:Pneumonectomy / Q000009:adverse effects*; D012086:Reoperation; D016156:Respiratory Tract Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D013346:Subarachnoid Space; D013905:Thoracoplasty; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone