Chloramphenicol inhibits protein synthesis in bacteria and is usually bacteriostatic but is bactericidal against Haemophilus influenzae, Streptococcus pneumoniae, and Neisseria meningitis. Chloramphenicol penetrates all body tissues well. The cerebrospinal fluid concentration averages 60% of the serum level, while brain levels are 9 times higher because of high lipid solubility of this drug. Ch...

meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, which are known as the meninges. this infection may be caused by streptococcus pneumonia bacteria. in this study, we presented the case of a female newborn with meningitis secondary to streptococcus pneumonia. her birth weight and height were normal. after 24 hours of birth, the neonate was diagn...

BACKGROUND Mortality and morbidity rates are high among adults with acute bacterial meningitis, especially those with pneumococcal meningitis. In studies of bacterial meningitis in animals, adjuvant treatment with corticosteroids has beneficial effects. METHODS We conducted a prospective, randomized, double-blind, multicenter trial of adjuvant treatment with dexamethasone, as compared with pl...

BACKGROUND The circulating cholinesterases acetyl- and butyrylcholinesterase may be suppressed and subsequently released from the brain in acute bacterial meningitis. METHODS We report serum activities of acetylcholinesterase and butyrylcholinesterase in paired arterial and jugular venous samples from seven patients with acute bacterial meningitis and eight healthy controls. Paraoxonase 1, wh...

Meningitis is the main infectious central nervous system (CNS) syndrome. Viruses or bacteria can cause acute meningitis of infectious etiology. The term "Aseptic Meningitis" denotes a clinical syndrome with a predominance of lymphocytes in the cerebrospinal fluid (CSF), with no common bacterial agents identified in the CSF. Viral meningitis is considered the main cause of lymphocyte meningitis....

Viral aseptic meningitis syndrome is an acute meningeal inflammation with symptoms, such as fever and pleocytosis of the cerebrospinal fluid, and enteroviruses are the main causative agents of this disease [1]. Enteroviral meningitis is commonly considered as a subclinical disease, but its clinical characteristics and cerebrospinal fluid (CSF) findings are similar to those of bacterial or herpe...

In this report, a case of community-acquired acute bacterial meningitis (CA-ABM) caused by CTX-M-15-producing Escherichia coli in an elderly male patient was presented in the light of literature. Cultures of cerebrospinal fluid, blood, ear discharge, and stool samples yielded CTX-M-15-producing E. coli in-vitro, which was resistant to the extended-spectrum cephalosporins and ciprofloxacin and s...

Estimates of the burden of Haemophilus influenzae type b (Hib) in children in Pakistan are limited. A prospective surveillance was set up in 8 sentinel sites in Karachi and Hyderabad in January 2004. A total of 1481 children aged < 5 years underwent lumbar puncture for suspected acute bacterial meningitis. Specimens from 237 (16.0%) children met the criteria for probable bacterial meningitis, a...

background: the clinical diagnosis of meningitis is crucial, particularly in children. the early diagnosis and empiric an­tibi­otic treatments have led to a reduction in morbidity and mortality rates. pcr and the enzymatic digestion of 16srdna frag­ment which is produced by universal primers led up fast and sensitive determination. the purpose of this study was to investi­gate a rapid method fo...

Cerebrospinal fluid (CSF) immunoglobulins were measured in 62 normal children, in 9 children with purulent meningitis, and in 10 children with presumptive viral meningitis. The mean values in normal children were IgA 0, IgM 0, and IgG 0.84 +/- 1.4 mg/100 ml (+/- SD). The mean levels of all CSF immunoglobulins were raised in acute bacterial meningitis and were significantly greater than the leve...