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Intrathecal Baclofen Pump Infection With Meningitis: Effective Treatment by Radical Debridement and Intrareservoir Baclofen-Vancomycin Co-Infusion.
Koljonen, Paul A; Chan, Sophelia H S; Liu, Thomas; Ho, Alvin C C; Chim, Stella; Tsoi, Nai Shun; Wong, Yat Wa.
Afiliación
  • Koljonen PA; Division Department of Orthopaedics & Traumatology, Queen Mary Hospital, University of Hong Kong, Hong Kong.
  • Chan SHS; Department of Paediatrics & Adolescent Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
  • Liu T; Division Department of Orthopaedics & Traumatology, Queen Mary Hospital, University of Hong Kong, Hong Kong.
  • Ho ACC; Department of Paediatrics & Adolescent Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
  • Chim S; Department of Paediatrics & Adolescent Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.
  • Tsoi NS; Department of Paediatrics & Adolescent Medicine, University of Hong Kong, Hong Kong.
  • Wong YW; Division Department of Orthopaedics & Traumatology, Queen Mary Hospital, University of Hong Kong, Hong Kong.
Neuromodulation ; 24(7): 1223-1228, 2021 Oct.
Article en En | MEDLINE | ID: mdl-33538029
OBJECTIVES: Intrathecal baclofen pump associated central nervous system (CNS) infection and meningitis is a rare but serious complication and may have dire consequences. Due to bacterial biofilm formation, the optimal treatment strategy is usually for removal of the pump, followed by systemic antibiotics for treatment of local and CNS infection. We describe this case of a patient with recurrent Staphylococcus aureus pump site empyema and meningitis leading to status dystonicus, who was successfully managed with radical debridement and intrareservoir baclofen-vancomycin co-infusion. MATERIALS AND METHODS: We retrospectively report a case of infected intrathecal baclofen pump with meningitis and provide a full review of literature. CONCLUSIONS: To the best of our knowledge, this is the first reported case of intrathecal baclofen (ITB)-associated pump site empyema and meningitis successfully treated with this technique. In selected cases where surgical explantation is deemed not feasible, this method can provide clinicians with an additional option for pump salvage and retention, while eradicating CNS infection and maintaining optimal control of spasticity and dystonia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Meningitis / Relajantes Musculares Centrales Tipo de estudio: Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: Neuromodulation Año: 2021 Tipo del documento: Article País de afiliación: Hong Kong Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Meningitis / Relajantes Musculares Centrales Tipo de estudio: Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: Neuromodulation Año: 2021 Tipo del documento: Article País de afiliación: Hong Kong Pais de publicación: Estados Unidos