{"id":"212e9f57-6e15-44b1-9f49-dfbf964ba4cb","slug":"pseudomonas-aeruginosa-nosocomial-meningitis-following-spinal-anesthesia-still-a-significant-treatment-dilemma","title":"<i>Pseudomonas aeruginosa</i> nosocomial meningitis following spinal anesthesia – still a significant treatment dilemma","authors":["Entela Kolovani","Ergys Ramosaço","Artur Xhumari","Gentian Vyshka","Eris Ranxha"],"abstract":"Background: Infections of central nervous system after spinal anesthesia nowadays are a rarity; however, their presence might be of concern. Case Description: We report the case of lateral ventricular empyema treated unsuccessfully with parenteral antibiotic therapy, with the clinical signs of a persisting meningitis. After several lumbar taps suggesting an infection, Pseudomonas aeruginosa was isolated and a brain magnetic resonance imaging find out the collection in the left horn of the lateral ventricle. An intrathecal/intraventricular antibiotic therapy with colistin proved highly effective combined with an extra ventricular drainage to deal with the hydrocephaly. Conclusion: Clinicians should take into account even uncommon infectious agents while facing the picture of a meningitis otherwise nonresponsive to empiric or standard therapy.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/212e9f57-6e15-44b1-9f49-dfbf964ba4cb/featured/hero-1781561012544.png","publishDate":"2022-09-02T00:00:00.000Z","doi":"10.25259/SNI_594_2022","categories":["Infection","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/09/11842/SNI-13-400.pdf"}