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Entzündliche Erkrankungen

  • E. Schmutzhard
  • W. Enzensberger
  • M. Schwarz
Chapter
  • 58 Downloads

Zusammenfassung

Unter einer Meningitis versteht man eine Entzündung von Pia mater und Arachnoidea. Das Erregerspektrum ist weit und reicht von Bakterien, die hä-matogen-metastatisch, fortgeleitet oder durch offene Hirnverletzung zur eitrigen Meningitis führen, über Viren zu Pilzen und Parasiten. Insbesondere bei den unbehandelt häufig letal verlaufenden eitrigen Meningitiden ist eine rasche Diagnose mit Erregernachweis notwendig. Unverzüglich ist daraufhin eine spezifische, der regionalen Resistenzentwicklung angepaßte Therapie einzuleiten. Die meningea-le Affektion im Rahmen einer Listeriose oder Tuberkulose verdient aufgrund des klinischen Bildes, des Verlaufs und der spezifischen Therapie besondere Beachtung. Die fungalen Infektionen werden, da klinisch häufig als Meningoenzephalitis imponierend, in Kap. 32.3 abgehandelt.

Literatur

Weiterführende Literatur

  1. Berlit P, Fedel Ch, Tornow K, Schmiedeck P (1996) Der bakterielle Hirnabszeß. Erfahrungen bei 67 Patienten. Fortsch Neurol Psychiatr 64:297–306CrossRefGoogle Scholar
  2. Bogdahn U, Wildemann B (1994) Chronic meningitis. In: Hacke W (ed) Neuro critical care. Springer, Berlin Heidelberg New York Tokyo, pp 543–550CrossRefGoogle Scholar
  3. Boos J, Esiri MM (1986) Viral encephalitis, pathology, diagnosis, and management. Blackwell, Oxford London EdinburghGoogle Scholar
  4. Brandner S, Isenmann S, Raebert A et al. (1996) Normal host prion protein necessary for scrapie-induced neurotoxicity. Nature 379: 339–343PubMedCrossRefGoogle Scholar
  5. Brock DG, Bleck TP (1992) Extra-axial suppurations of the central nervous system. Semin Neurol 12: 263–272PubMedCrossRefGoogle Scholar
  6. Darouiche R, Perkins B, Musher D (1990) Levels of rifampin and ciprofloxacin in nasal secretions: Correlation with MIC90 and eradication of nasopharyngeal carriage of bacteria. J Infect Dis 162:1124–1127PubMedCrossRefGoogle Scholar
  7. Diringer H (1996) Creutzfeldt-Jakob disease. Lancet 347: 1332–1333PubMedCrossRefGoogle Scholar
  8. Durand ML, Calderwood SB, Weber DJ (1993) Acute bacterial meningitis in adults-a review of 493 episodes. N Engl J Med 328:21–28PubMedCrossRefGoogle Scholar
  9. Enzensberger W (1989) Neuromanifestationen bei AIDS. Ullstein Mosby, WiesbadenGoogle Scholar
  10. Fischer P-A, Enzensberger W (1987) Neurological complications in AIDS. J Neurol 234: 269–279PubMedCrossRefGoogle Scholar
  11. Friedland IR, McCracken GH (1994) Management of infections caused by antibiotic-resistant Streptococcus pneumoniae. N Engl J Med 331: 377–382PubMedCrossRefGoogle Scholar
  12. Garcia LS, Bruckner DA (1993) Diagnostic medical parasitology, 2nd edn. American Society for Microbiology Press, Washington DCGoogle Scholar
  13. Goodman ML, Coffey RJ (1989) Stereotactic drainage of Aspergillus brain abscess with long term survival; Case report and review. Neurosurgery 24: 96–99PubMedCrossRefGoogle Scholar
  14. Greenlee JE (1995) Subdural empyema. In: Mandell GL, Bennett JE, Dolin R (eds) Infectious diseases. Churchill Livingstone, New York, pp 900–907Google Scholar
  15. Hacke W, Hanley DF, Einhäupl KM, Bleck TP, Diringer MN (eds) (1994) Neurocritical care. Springer, Berlin Heidelberg New York TokyoCrossRefGoogle Scholar
  16. Komori H, Takagishi T, Otaki E (1992) The efficacy of MR imaging in subdural empyema. Brain Dev 14:123–125PubMedCrossRefGoogle Scholar
  17. Koszewski W (1991) Epilepsy following brain abscess. The evaluation of possible risk factors with emphasis on a new concept of epileptic focus formation. Acta Neurochir 113: 110–117PubMedCrossRefGoogle Scholar
  18. Lorber B (1997) Listeriosis. Clin Infect Dis 24:1–9PubMedCrossRefGoogle Scholar
  19. Mandell GL, Bennett JE, Dolin R (eds) (1995) Principles and practice of infectious diseases, 4th edn. Churchill Livingstone, New YorkGoogle Scholar
  20. McCormick GF, Zee CS, Heiden J (1982) Cysticercosis cerebri. Arch Neurol 39: 534–539PubMedCrossRefGoogle Scholar
  21. Murray PR, Baron EJ, Pfaller MA, Tenover FC, Jolken RH (eds) (1995) Manual of clinical microbiology, 6th edn. American Society for Microbiology Press, Washington DCGoogle Scholar
  22. Nunez DA, Browning GG (1990) Risks of developing an otogenic intracranial abscess. J Laryngol Otol 104:468–472PubMedCrossRefGoogle Scholar
  23. Österholm MT, Hedberg CW, McDonald KL (1995) Epidemiology of infectious diseases. In: Mandell GL, Bennett JE, Dolin R (eds) Infectious diseases. Churchill Livingstone, New York, pp 158–168Google Scholar
  24. Parchi P, Castellani R, Capellari S et al. (1996) Molecular basis of phenotypic variability in sporadic Creutzfeldt-Jakob disease. Ann Neurol 39: 767–778PubMedCrossRefGoogle Scholar
  25. Peters UH, Fischer P-A, Enzensberger W, Schifferdecker M (Hrsg) (1993) AIDS in Psychiatrie und Neurologic Deutscher Ärzte-Verlag, KölnGoogle Scholar
  26. Pfister HW, Koedel U, Haberl RL (1990) Microvascular changes during the early phase of experimental bacterial meningitis. J Cerebral Blood Flow Metab 10:914–922CrossRefGoogle Scholar
  27. Quagliatilo VJ, Scheid WM (1992) Bacterial meningitis: pathogenesis, pathophysiology and progress. N Engl J Med 327:864–872CrossRefGoogle Scholar
  28. Quagliatilo VJ, Scheid WM (1997) Treatment of bacterial meningitis. N Engl J Med 337: 708–716CrossRefGoogle Scholar
  29. Schaad UB, Lips U, Gnehm HE, Blumberg A, Heinzer I, Wedgwood J (1993) Dexamethasone therapy for bacterial meningitis in children. Lancet 342:457–461PubMedCrossRefGoogle Scholar
  30. Schmutzhard E (1994 a) Fungal infections. In: Hacke W (ed) Neuro critical care. Springer, Berlin Heidelberg New York Tokyo, pp 515–529CrossRefGoogle Scholar
  31. Schmutzhard E (1994b) Parasitic infections. In: Hacke W (ed) Neuro critical care. Springer, Berlin Heidelberg New York Tokyo, pp 530–542CrossRefGoogle Scholar
  32. Schmutzhard E, Roelcke U (1994) Tuberculous meningitis and central nervous system. In: Hacke W (ed) Neuro critical care. Springer, Berlin Heidelberg New York Tokyo, pp 398–406CrossRefGoogle Scholar
  33. Schmutzhard E, Williams KJ, Vukmirovits G, Chmelik V, Pfausler B, Featherstone A (1995) A randomized comparison of Meropenem with Cefotaxime or Ceftriaxone for the treatment of bacterial meningitis in adults. J Antimicrob Chemother 36:85–97PubMedCrossRefGoogle Scholar
  34. Schwartz B (1991) Chemoprophylaxis for bacterial infections: principles of and application to meningococcal infections. Rev Infect Dis 13 (suppl) : 170CrossRefGoogle Scholar
  35. Seydoux C, Francioli P (1992) Bacterial brain abscesses: Factors influencing mortality and sequelae. Clin Infect Dis 15: 394–401PubMedCrossRefGoogle Scholar
  36. Sjoln J, Lilja A, Eriksson N (1993) Treatment of brain abscess with cefotaxime and metronidazole: prospective study on 15 consecutive patients. Clin Infect Dis 17: 857–863CrossRefGoogle Scholar
  37. Skelton R, Maixner W, Isaacs D (1992) Sinusitis-induced subdural empyema. Arch Dis Child 67:1478–1480PubMedCrossRefGoogle Scholar
  38. Skogberg K, Syrjänen J, Jahkola M (1992) Clinical presentation and outcome of listeriosis in patients with and without immunosuppressive therapy. Clin Infect Dis 14: 815–821PubMedCrossRefGoogle Scholar
  39. Spanos A, Harreil FE, Durack DT (1989) Differential diagnosis of acute meningitis: an analysis of the predictive value of initial observation. JAMA 262: 2700–2707PubMedCrossRefGoogle Scholar
  40. Steinhoff BJ, Räcker S, Herrendorf G et al. (1996) Accuracy and reliability of periodic sharp wave complexes in Creutzfeldt-Jakob disease. Arch Neurol 53:162–165PubMedCrossRefGoogle Scholar
  41. Stocksill MT, Kauffman CA (1983) Comparison of cryptococ-cal and tuberculous meningitis. Arch Neurol 40: 81–85CrossRefGoogle Scholar
  42. Sugar AM, Stern JJ, Dupont B (1990) Overview: treatment of cryptococcal meningitis. Rev Infect Dis 12: 338–348CrossRefGoogle Scholar
  43. Swartz M (1987) Chronic meningitis-Many causes to consider. N Engl J Med 317:957–959PubMedCrossRefGoogle Scholar
  44. Tartaro A, Fulgente T, Delli-Pizzi C, Bonomo L, Bocola V, Onofrj M (1993) MRI alterations as an early finding in Creutzfeldt-Jakob disease. Eur J Radiol 17:155–158PubMedCrossRefGoogle Scholar
  45. Tiecks F, Pfister HW, Ray G (1994) Other viral infections. In: Hacke W (ed) Neuro critical care. Springer, Berlin Heidelberg New York Tokyo, pp 468–492CrossRefGoogle Scholar
  46. Tunkel AR, Scheid WM (1995) Acute bacterial meningitis. Lancet 346:1675–1680PubMedCrossRefGoogle Scholar
  47. Wackym PA, Canalis RF, Feuermann T (1990) Subdural empyema of otorhinological origin. J Laryngol Otol 104:118–122PubMedCrossRefGoogle Scholar
  48. Weber T, Zerr I, Bodemer M, Poser S (1997) Erweitertes Krankheitsspektrum humaner spongiformer Enzephalopathien oder Prionkrankheiten. Nervenarzt 68:309–323PubMedCrossRefGoogle Scholar
  49. Wilhelm C, Ellner JJ (1986) Chronic meningitis. Neurol Clin 4: 115–141PubMedGoogle Scholar
  50. Will RG, Ironside JW, Zeidler M et al. (1996) A new variant of Creutzfeldt-Jakob disease in the UK. Lancet 347:921–925PubMedCrossRefGoogle Scholar
  51. Wispelwey B, Scheid WM (1995) Brain abscess. In: Mandell GL, Bennett JE, Dolin R (eds) Infectious diseases. Churchill Livingstone, New York, pp 887–900Google Scholar
  52. Zerr I, Bodemer M, Otto M et al. (1996) Diagnosis of Creutzfeldt-Jakob disease by two-dimensional gel electrophoresis of cerebrospinal fluid. Lancet 348: 846–849PubMedCrossRefGoogle Scholar
  53. Zungia M, Aguado JM, Vada J (1992) Listeria monocytogenes meningitis in previously healthy adults: Long-term follow-up. QJM 85: 911–915Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • E. Schmutzhard
  • W. Enzensberger
  • M. Schwarz

There are no affiliations available

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