Gram-negative meningitis associated with transsphenoidal surgery: case reports and review.

@article{HaileMariam1994GramnegativeMA,
  title={Gram-negative meningitis associated with transsphenoidal surgery: case reports and review.},
  author={Tenagne W Haile-Mariam and Edward D Laws and Carmelita U Tuazon},
  journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
  year={1994},
  volume={18 4},
  pages={
          553-6
        }
}
We present a systematic review of meningitis associated with transsphenoidal surgery. Patients present within the first 4 days after surgery with symptoms of headache, fever, and confusion. Overt cerebrospinal rhinorrhea or nuchal rigidity at the time of presentation is an infrequent finding. Although postoperative aseptic meningitis may be difficult to distinguish from early bacterial meningitis, the findings of hypoglycorrhachia, pleocytosis, and hyperproteinemia in the setting of fever and… CONTINUE READING

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