Abstract
We describe a case of bacterial meningitis in a 37 year old man resulting from the
direct extension of an spontaneously occurring ischiorectal abscess into the intradural
space. The patient presented with back pain and urinary retention and this was followed
by the development of headache, photophobia and a left VIth nerve palsy. The patient
was not diabetic or immunocompromised. He was treated with broad spectrum antibiotics
and with drainage of the ischiorectal abscess; no organism was grown from blood, abscess
contents or cerebrospinal fluid. He went on to make a full recovery.
Keywords
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References
- Outcome after incision and drainage with fistulotomy for ischiorectal abscess.Am Surg. 1997; 63: 686-687
- Severe complications of perianal sepsis in patients with human immunodeficiency virus.Br J Surg. 1996; 83: 778-780
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- Anaerobic meningitis in an infant associated with pilonidal cyst abscess.Clin Neurol Neurosurg. 1985; 87: 131-132
Article info
Publication history
Accepted:
March 29,
2009
Received:
February 26,
2009
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
