Rinsho Shinkeigaku (Clinical Neurology)

Brief Clinical Note

A case of bacterial meningitis caused by methicillin-resistant Staphylococcus lugdunensis after surgery

Yasuhiro Sasaki, M.Pharm.1), Ayumi Kanamaru, B.N.1), Hisae Uchida, B.S.1), Masataka Yano, M.D.1) and Hiroshi Tada, M.D.2)

1)Tokyo Metropolitan Health and Medical Treatment Corporation Tama-Nanbu Chiiki Hospital ICT
2)Tokyo Metropolitan Health and Medical Treatment Corporation Tama-Nanbu Chiiki Hospital Neurosurgery

An 51-year-old man had undergone surgery for Rathke's cleft cyst by transsphenoidal approach on October 2015. After the surgery, cerebrospinal fluid (CSF) rhinorrhea arose. Surgical treatment of CSF rhinorrhea was performed by the same approach. Ten days after reoperation, he suffered from severe headache, high fever, and nuchal rigidity. CSF findings indicated bacterial meningitis. CSF culture showed methicillin-resistant Staphylococcus lugdunensis. He received vancomycin intravenously for 19 days and recovered from the bacterial meningitis with no serious complication.
Full Text of this Article in Japanese PDF (462K)

(CLINICA NEUROL, 56: 773|776, 2016)
key words: meningitis, vancomycin, coagulase-negative staphylococci

(Received: 26-Apr-16)