Bacterial meningitis after craniocerebral trauma in the community.

Holeckova K, Kolenova A, Lesnakova A, Steno J, Streharova A, Kisac P, Beno P, Kalavsky M, Sramka M, Ondrusova A, Benca J, Seckova S, Sladeckova V, Bartkovjak M, Bukovinova P, Hvizdak F, Lengyel P, Svabova V, Findova L, Kutna K, Deadline J, Johnson M, Namulanda V, Juma O, Okoth V, Kovac M, Rudinsky B, Bauer F, Karvaj M, Sabo I, Huttova M, Kenderessy P, Nosko J, Paulikova T, Rusnak R, Povinsky J, Galla S.
  Vol. 28 (Suppl 3) 2007 Neuro endocrinology letters Journal Article   2007; 28(Suppl 3): 12-13 PubMed PMID:  18030265    Citation  Keywords:  Alcohol-Related Disorders:complications, Anti-Bacterial Agents:therapeutic use, Bacteria:classification, Brain Damage, Chronic:etiology, Cohort Studies, Community-Acquired Infections:etiology, Craniocerebral Trauma:complications, Humans, Meningitis, Bacte.   

: Craniocerebral trauma is one of major risk factors for development of meningitis. We reviewed 30 cases of bacterial meningitis occurring in community after craniocerebral trauma. Alcohol abuse was significant risk factor occurring in trauma patients with meningitis present in 50% in our cohort (p=0.0001). The most common pathogen in posttraumatic meningitis was Str. pneumoniae (90% vs. 33.8%, p=0.0001). However mortality was very low, only 5% probably because of early diagnosis and treatment of patients at risk for bacterial meningitis but neurologic sequellea were significantly more common (p=0.00001) in patients after craniocerebral trauma.