DEXAMETASONA EN MENINGITIS BACTERIANA AGUDA PDF

Directory of Open Access Journals Sweden. We used the worse EEG result during acute phase of meningitis , and performed neurologic follow-up after discharge from hospital. Background cerebral activity was classified as normal or mildly, moderately, or markedly abnormal. Neurologic examination outcomes was classified normal, mild abnormalities, moderate abnormalities and severe abnormalities. RESULTS: EEG performed in the neonatal period during acute bacterial meningitis predicts adverse outcome early at age of 9 months, and had a significant correlation with cephalic perimeter and active tone alterations. Se uso el peor resultado del EEG obtenido durante el periodo agudo de la meningitis.

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Neurolisteriosis in adults: report of six clinical cases. Afecta a pacientes que se encuentran en edades extremas de la vida, pacientes con deficiencia en su inmunidad celular y adultos sanos.

Palavras-clave: Listeria monocytogenes, neurolisteriosis, meningitis, cerebritis, romboencefalitis. It affects newborn as well as elderly people, patients with deficiencies in their cellular inmune systems, and healthy adults.

It presents most commonly as an acute meningitis, although it can present itself as cerebritis, brain stem encephalitis rhomboencephalitis , and exceptionally as myelitis. The CSF was turbid or slightly turbid with normal glycorrachia in three patients. The diagnosis was made in five through culture of CSF. The patient with the rhomboencephalitis had brain stem microabscesses in the brain magnetic resonance. All the patients had a good outcome under antibiotics treatment.

It should also be taken into account in young healthy adults living in regions under poor sanitary conditions where there is no adequate control of food manufacturing. Key words: Listeria monocytogenes, neurolisteriosis, meningitis, cerebritis, rhomboenchepalitis. Se desarrolla mejor en medios neutros o ligeramente alcalinos y muere si el pH es inferior a 5,5. Aunque L. El primer caso de romboencefalitis por L. Es una enfermedad severa con alta mortalidad.

VES: 95 mm. Los hemocultivos fueron negativos. C, discreta rigidez de nuca y fosa lumbar izquierda dolorosa. Sospecha de romboencefalitis. VES: 42mm, glicemia 1. Cerebritis o isquemia por vasculitis. Cuatro eran de sexo femenino y dos masculino. La fiebre elevada fue un elemento constante. Listeria monocytogenes tiene especial tropismo por colonizar el SNC, causando particularmente meningitis o meningoencefalitis 12 , y con menos frecuencia encefalitis de tronco o romboencefalitis, abscesos de cerebro y cerebelo , cerebritis, cerebelitis y excepcionalmente mielitis 1,3,5,6,10, La neurolisteriosis NL habitualmente se adquiere en la comunidad, siendo pocos los casos adquiridos por pacientes hospitalizados Al igual que lo observado en la literatura consultada 11,20 el aspecto del LCR de todos nuestros pacientes fue ligeramente o francamente turbio.

La RM es sumamente evocativa de la romboencefalitis por L. La neurolisteriosis bajo forma de rombencefalitis se describe como una enfermedad en dos fases 4, La glucosa suele ser normal y la proteinorraquia poco aumentada. El tiempo de tratamiento fue de tres semanas. En caso de estar impedido de utilizar penicilinas se sugiere, como alternativa, el uso de TMP-SMX intravenoso que es igual de eficaz. Se considera su utilidad cuando se presume vasculitis en tronco cerebral. Dadas las condiciones de pobreza de nuestro continente, importa hacer un relevamiento de este germen, y de su eventual aumento en la incidencia de las meningitis agudas.

Luiz Maia I, Franco C. In Veronesi R. Tratado de Infectologia. Murray EG, Webb R. A disease of rabbits characterized by a large mononuclear leukocytes.

J Pathol Bact ; Neyfeldt A. Etiologie de la mononucleose infectieuse. CR Soc Biol ; Rev Med Chile ; Lorber B. Listeria monocytogenes. Principles and practice of infectious diseases. Philadelphia: Churchill Livingstone, ; Kuhn M, Goebel W. Listeria monocytogenes: inside a cell, inside a cell. Biologist ; Rev Neurol, ; Syringomyelia following Listeria meningoencephalitis: report of a case. Neurol Sci ; Evidence for intraaxonal spread of Listeria monocytogenes from the periphery to the central nervous system.

Brain Pathol, ; Listeria monocytogenes empyema in an HIV infected patient. Medicine ; Acute bacterial meningitis in adults: year overview. Arch Intern Med ; Cerebellar abscess due to Listeria momocytogenes. Saudi Med J ; Polymerase chain reaction for the laboratory diagnosis of aseptic meningitis and encephalitis. Arq Neuropsiquiatr ; Goulet V, Marchetti P. Listeriosis in non-pregnant patients in clinical aspects and outcome in relation to predisposing conditions.

Scand J Infect Dis ; Singh N, Husain S. Infections of the central nervous system in transplant recipients. Transpl Infectious Diseases ; Meningite por Listeria monocytogenes em um caso de doenca de Hodgkin. Medicina B. Rev Neurol ; Brainstem encephalitis rhomboencephalitis due to Listeria monocytogenes: a case report and review.

Clin Infect Dis ; Treatment difficulties of a listerial rhomboencephalitis in an adult patient allergic to penicillins. J Clin Pathol ; Systemic and intracerebral infections of mice with Listeria monocytogenes successfully treated with linezolid. J Chemother ; Rev Bras Anal Clin. Aceito 9 Agosto Ronald Salamano - Jose E. Rodo A. E-mail: rsalamano hotmail. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Services on Demand Journal. Vergueiro, sl. How to cite this article.

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Community-Acquired Bacterial Meningitis in Adults. N Engl J Med ; Acute bacterial meningitis in adults: a year review. Medicine ; Acute bacterial meningitis in adults: a year overview. Arch Intern Med ; Kastenbauer S, Pfister HW.

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