@article{doichinova2014staphylococcal,
  title = {Staphylococcal Meningitis: Review of Five Cases},
  author = {Tsetsa Georgieva Doichinova and Galya Ivanova Gancheva and Nachko Iliev Totsev},
  year = 2014,
  url = {https://ibimapublishing.com/articles/JMED/2014/769086/},
  journal = {JMED Research},
  volume = 2014 (2014),
  pages = 5,
  doi = 10.5171/2014.769086,
  abstract = {The aim of this study is to analyze the clinical characteristics, laboratory results, therapy and outcomes of five cases of staphylococcal meningitis (SM), treated at University Hospital – Pleven, Bulgaria since 2010. The cases were aged 7-69-years; three male and two female. Three of the cases were acquired in society. Two patients were operated because of brain tumor and meningitis appeared secondary.  Fever (4/5), headache (3/5), nausea (2/5), photophobia and hyperacusis (1/5) were registered. Neck rigidity and pathological reflexes were found in all patients. Two cases were in comma. Investigations of cerebrospinal fluid (CSF) revealed increased protein level, neutrophil pleocytosis and variable glucose level. The glycorhachia/glicemia ratio was 0.45. Staphylococcus aureus, haemoliticus and hominis (in three, one and one, respectively) were found by the culture of cerebrospinal fluid (CSF) and Latex agglutination. Sphenoiditis, hemorrhagic vascular incident and a massive cerebellar tumor (in one case, respectively) were detected by computed tomography. Ceftazidim, vancomycin, amiкacin and metronizadol (in combinations) and meropenem solely were administered. Supportive treatment with corticoids, diuretics, fluids and blood products was carried out. The duration of treatment was 5-13 days. All cases successfully recovered. The Conclusion is that Staphylococcal meningitis is uncommon but severe disease and requires correct diagnosis and prompt adequate treatment.},
  keywords = {Staphylococcal meningitis, Staphylococcus aureus, postoperative meningitis.},
  note = Article ID: 769086
}