Meningitis complications

In adults, a significant benefit was observed with dexamethasone over placebo in reducing meningitis complications,... 

Fungal infections A case of cryptococ-cal meningitis complicating corticosteroid therapy has been reported (74 ). 

Paramyxoviruses Mumps virus Enveloped particles variable in size, 110-170nm in diameter, with helical capsids Infection in children produces characteristic swelling of parotid and submaxillary salivary glands. The disease can have neurological complications, e.g. meningitis, especially in adults... 

The use of glucocorticoids for tuberculous meningitis remains controversial. The administration of steroids such as oral prednisone, 60 to 80 mg/ day (1 to 2 mg/kg/day in children), or 0.2 mg/kg/day of IV dexametha-sone, tapered over 4 to 8 weeks, improves neurologic sequelae and survival in adults and decrease mortality, long-term neurologic complications, and permanent sequelae in children. 

Symptoms Symptoms appear about ten to twenty days after the Q fever rickettsia are inhaled. The symptoms resemble flu symptoms and include fever, chills, headache, fatigue and muscle aches. About one half of persons with symptoms will have pneumonia evident on chest X-ray and some of these will have a cough or chest pain. The complications of meningitis or and inflammation of the heart may arise, but these are uncommon. Normally, the duration of Q fever is two days to two weeks at which time the disease resolves without permanent effects on the individual. 

Depending on the route of exposure to this biological agent, the exposed person may experience inhalation anthrax, cutaneous anthrax, or gastrointestinal anthrax. Any one of these forms can be complicated by meningitis occurring in about 5% of cases when anthrax bacilli enter the central nervous system via the bloodstream and eventually reach the blood-brain barrier. 

After incubation, initial clinical manifestations include fever, cough, chills, myalgia, headache, and sometimes pleuritic chest pain. Approximately 50% of patients show abnormal chest x-rays patchy infiltrates resemble viral disease. Uncommon complications include endocarditis, hepatitis, aseptic meningitis, encephalitis, and osteomyelitis. Most patients who develop endocarditis have preexisting valvular heart disease.3... 

One definition of post-operative paralytic ileus is the failure of the patient to pass faeces or flatus within 60 hr. of the termination of a surgical abdominal operation . A somewhat similar condition may arise in cases of gross mechanical obstruction of the gut. It is well known also that operations involving handling of the gut or the peritoneum are especially liable to cause paralytic ileus. Peritonitis and post-operative pain, inadequately treated with morphia, also precipitate paralytic ileus. Pneumonia, meningitis and typhoid predispose to paralytic ileus, whilst severe hypothyroidism can also be complicated by a paralytic ileus. 

It is used for bacterial infections caused by microorganisms that are sensitive to the drug. These may be abdominal and gynecological infections, sepsis, meningitis, endocarditis, infections of the urinary and respiratory tracts, bones, joints, skin, and soft tissnes. It is widely nsed for pneumonia as well as bacterial meningitis in children, and for post-operational infections complications. Synonyms of this drug are ceftin, zinacef, curoxim, kefox, and many others. 

It is used for treating sepsis, meningitis, osteomyelitis, periotonitis, pneumonia, pyelonephritis, pyelocystitis, infected wounds, and post-operational purulent complications caused by microorganisms sensitive to the drug. Synonyms of this drug are karmycin, kamaxin, resistomycin, and many others. 

Acute pelvic, bone, intra-abdominal, joint, respiratory tract, burn wound, postoperative, and skin or skin-structure infections-, complicated UTIs septicemia meningitis IV, IM... 

One case of Staphylococcus aureus meningitis, a rare complication of epidural analgesia, has been published. The same patient developed a cauda equina syndrome of uncertain etiology, although neural ischemia as a result of meningitis secondary to immunosuppression was possible (SEDA-21,420 456). A unique case of transient profound paralysis after epidural glucocorticoid injection (acute paraplegia) has now been reported (SEDA-22, 451 457). Diplopia associated with the peridural or intrathecal infiltration of prednisolone have not been previously reported (SEDA-22, 451 458). 

Although aseptic meningitis has been associated with the use of radioactive iodine, the products used were albumin complexes (131I-RISA) this complication is almost certainly attributable to the protein content or to pyrogens rather than to the radioactive iodine itself (8). 

What are the prognosis and potential long-term complications of meningitis ... 

UK studies report mortality rates for adult patients hospitalised with community-acquired pneumonia ranging from 6% to 12%. Mortality increases to over 50% in patients admitted to the intensive care unit. Parapneumonic effusions develop in up to half of patients hospitalised with community-acquired pneumonia, requiring chest tube drainage it may be the cause of persisting pyrexia. Lung abscess is a relatively rare complication of community-acquired pneumonia, and metastatic infection such as meningitis, peritonitis, endocarditis and septic arthritis can occasionally develop. 

Sjogren s syndrome is occasionally complicated by systemic vasculitis, causing focal cerebral ischemia, global encephalopathy and aseptic meningitis (Hietaharju et al. 1993 Bragoni et al. 1994 Delalande et al 2004). 

Acute posterior multifocal placoid pigment epitheliopathy is a rare and usually benign and self-limiting chorioretinal disorder, with rapidly deteriorating central vision. However, it can be complicated by systemic vasculitis, aseptic meningitis and stroke (Cornu et al. 1996 de Vries et al. 2006). 

Rarely, mumps can have severe complications such as encephalitis, meningitis, orchitis, oophoritis, mastitis, spontaneous abortion, and deafness that is typically permanent (CDC, 2006e). 

Thordarson H, Talstad I. Acute meningitis and cerebellar dysfunction complicating high-dose cytosine arabinoside therapy. Acta Med Scand 1986 220(5) 493-5. 

The use of intraspinal interferon alfa (1 MU three times a week for 4 weeks) in 22 patients with neoplastic meningitis was associated with frequent adverse effects that mostly manifested as chronic fatigue syndrome in 91% of patients (severe in 45%) and arachnoiditis in 73% (severe in 9%) (402). Interferon alfa-induced immune dysregulation in an immunologically predisposed patient was suggested to account for this complication. 

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