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Community-acquired Pseudomonas meningitis causes acute obstructive hydrocephalus

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Abstract

Introduction

Pseudomonas aeruginosa (PS) infection is serious in children and can cause malignant external otitis, endophthalmitis, endocarditis, meningitis, pneumonia, and septicemia (Huang et al. Pediatr Infect Dis J 1). The treatment of Pseudomonas infection requires prompt medical evaluation and appropriate antibiotic treatment.

Case report

We report the case of a 6-month-old boy with an unusual presentation of acute obstructive hydrocephalus owing to Pseudomonas meningitis. Treatment with optimal antibiotic begun immediately after the pathogen was recognized and continued for 4 weeks. The patient received prompt surgical intervention for the complication of acute obstructive hydrocephalus.

Conclusion

The early stage of obstructive hydrocephalus caused by community-acquired Pseudomonas is rare and should be immediately detected.

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Authors and Affiliations

  1. Division of Pediatric Critical and Emergency Medicine, Chang Gung Children’s Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan

    Jainn-Jim Lin, Chang-Teng Wu & Shao-Hsuan Hsia

  2. Division of Pediatric Neurology, Chang Gung Children’s Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, #5 Fu-Shin Street, Kwei-Shan Taoyuan, 333, Taiwan

    Jainn-Jim Lin & Kuang-Lin Lin

  3. Division of Pediatric Infectious Disease, Chang Gung Children’s Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan

    Cheng-Hsun Chiu

Authors
  1. Jainn-Jim Lin
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  2. Chang-Teng Wu
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  3. Shao-Hsuan Hsia
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  4. Kuang-Lin Lin
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  5. Cheng-Hsun Chiu
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Correspondence to Kuang-Lin Lin.

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Lin, JJ., Wu, CT., Hsia, SH. et al. Community-acquired Pseudomonas meningitis causes acute obstructive hydrocephalus. Childs Nerv Syst 25, 723–725 (2009). https://doi.org/10.1007/s00381-009-0836-4

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  • DOI: https://doi.org/10.1007/s00381-009-0836-4

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