Acute Bacterial Infections of the Central Nervous System

Author(s):  
Kyle J. Coleman ◽  
Karen L. Roos
1960 ◽  
Vol 7 (3) ◽  
pp. 605-626 ◽  
Author(s):  
Samuel Karelitz ◽  
Franklin T. Desposito ◽  
Milton L. Spinner ◽  
Henry D. Isenberg

1984 ◽  
Vol 18 (9) ◽  
pp. 723-726 ◽  
Author(s):  
Michael D. Reed ◽  
Stephen C. Aronoff ◽  
Jeffrey L. Blumer

Forty children with documented or suspected bacterial infections arising outside the central nervous system (CNS) were studied. Fifteen different pathogens for a total of 30 isolates were obtained from multiple sources. Staphylococcus aureus (minimum inhibitory concentrations 4–8 μg/ml) was the most common pathogen isolated, involving seven patients. Each patient received moxalactam 50 mg/kg iv over 15 minutes q8h and responded favorably to therapy, exhibiting bacteriologic and/or clinical cures. Toxicity associated with moxalactam occurred in only two patients and necessitated discontinuation of drug therapy. Moxalactam 50 mg/kg iv q8h is effective therapy for non-CNS infections occurring in infants and children.


2019 ◽  
Vol 39 (03) ◽  
pp. 334-342 ◽  
Author(s):  
Paul A. LaPenna ◽  
Karen L. Roos

AbstractAcute bacterial meningitis and spinal epidural abscess are neurological emergencies. Acute bacterial meningitis may present with symptoms as nonspecific as headache and fever, but rapid progression to an altered level of consciousness is not unusual. Spinal epidural abscess manifests initially as back pain, followed by radicular pain, then weakness, and finally paraplegia. Brain abscess may initially present only with headache, or as a new-onset seizure or with a focal neurological deficit. Bacterial infections of the central nervous system require emergent diagnosis and management. In this article, the pathogenesis, etiological organisms, diagnostic studies, differential diagnosis and management of acute bacterial meningitis, spinal epidural abscess, and brain abscess are discussed.


2021 ◽  
Vol 63 (5) ◽  
pp. 425-435
Author(s):  
J. Azcona Sáenz ◽  
D. Herrán de la Gala ◽  
A.M. Arnáiz García ◽  
C.A. Salas Venero ◽  
E. Marco de Lucas

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