Faculty of Medicine
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Item type:Publication, HAEMOPHILUS INFLUENZAE MENINGITIS IN A ADULT: A RARE ETIOLOGY OF MENINGITIS – CASE REPORT(Peytchinski Publishing Ltd., Pleven, Bulgaria, 2024-10) ;Milosavljevikj, Ane; ; ; Rangelov, GoranHaemophilus influenzae is a gram-negative bacterium that commonly causes meningitis in children, rarely in adults, particularly in immunocompetent individuals. Most adult cases occur in those with predisposing conditions such as chronic diseases and immunosuppression. We describe a case of meningitis caused by Haemophilus influenzae in an immunocompetent 66- year-old male. The patient received treatment with ceftriaxone and he was discharged in good clinical condition, with no neurological deficits. Haemophilus influenzae meningitis in adults underscores the importance of considering this rare pathogen in the differential diagnosis of bacterial meningitis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, METHICILLIN-SENSITIVE STAPHYLOCOCCUS AUREUS BACTEREMIA AND MENINGITIS ASSOCIATED WITH SPINAL AND PSOAS MUSCLE ABSCESS – CASE REPORT(Peytchinski Publishing Ltd., Pleven, Bulgaria, 2024-10) ;Dimitrova, Emilija; ; ; Rangelov, GoranMethicillin-sensitive Staphylococcus aureus (MSSA) can cause a range of severe infections, including bacteremia and meningitis. While MSSA-related bacteremia and meningitis are serious on their own, they can also be associated with complex complications such as intraspinal and psoas abscesses. We report a case of a 72-year-old male with symptoms including lower back pain, leg weakness, malaise, fever and headache. Initial laboratory results showed leucocythosis, hyponatriemia and elevated CRP, while cerebrospinal fluid analysis indicated significant pleocytosis and neutrophilia. After admission, three blood cultures were obtained, all of which isolated MSSA. During hospitalization, a CT scan of the thorax and MR of the spine were performed, revealing bilateral pleural effusion, L5-S1 intraspinal abscess, and an abscess in the ileopsoas muscle. After 6 weeks of antibiotic therapy, a follow-up MRI was performed, which showed regression of the abscesses. This case underscores the severe complications of Staphylococcus aureus infection, including meningitis, sepsis and abscesses. Effective management relies on prompt diagnosis, comprehensive evaluation, and targeted antibiotic therapy. The patient’s positive outcome highlights the importance of early recognition and tailored treatment in complex infections.
