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Pseudomonas aeruginosa meningitis following stapedectomy
Author(s) -
Lairmont Albert A.,
Nicholson William L.,
Turner John S.
Publication year - 1975
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197506000-00017
Subject(s) - stapedectomy , meningitis , medicine , pseudomonas aeruginosa , antibiotics , gentamicin , surgery , mastoiditis , complication , otitis , fistula , microbiology and biotechnology , biology , bacteria , otosclerosis , genetics
Meningitis is a rare complication following stapedectomy. Most cases are preceded by a fistula in the oval window. Although fatalities have been reported, most cases respond to parenteral and intrathecal antibiotics if diagnosed and treated early. Gram‐positive organisms are the usual pathogens, but Gram‐negative organisms may be found, especially as a superinfection following antibiotics administered prophylacticly or for the treatment of otitis media or mastoiditis. A case of Pseudomonas aeruginosa meningitis five weeks after stapedectomy, successfully treated with gentamicin, is reported. The discussion includes the diagnosis of post‐stapedectomy fistula and meningitis and current trends in treatment.