Hostname: page-component-7479d7b7d-qs9v7 Total loading time: 0 Render date: 2024-07-12T05:08:23.288Z Has data issue: false hasContentIssue false

Meningitis and Brain Abscess Due to Clostridium Perfringens And Clostridium Paraputrificum Following Orbital Trauma

Published online by Cambridge University Press:  18 September 2015

Yves Girouard
Affiliation:
Department of Microbiology and Immunology and the Department of Pediatrics, Université de Montréal, and from the Infectious Diseases Service and the Neurosurgery and Neurology Services, Hôpital Sainte-Justine, Montréal, Québec
Gilles Delage*
Affiliation:
Department of Microbiology and Immunology and the Department of Pediatrics, Université de Montréal, and from the Infectious Diseases Service and the Neurosurgery and Neurology Services, Hôpital Sainte-Justine, Montréal, Québec
Jean-Pierre Mathieu
Affiliation:
Department of Microbiology and Immunology and the Department of Pediatrics, Université de Montréal, and from the Infectious Diseases Service and the Neurosurgery and Neurology Services, Hôpital Sainte-Justine, Montréal, Québec
Albert Larbrisseau
Affiliation:
Department of Microbiology and Immunology and the Department of Pediatrics, Université de Montréal, and from the Infectious Diseases Service and the Neurosurgery and Neurology Services, Hôpital Sainte-Justine, Montréal, Québec
*
Département de Microbiologie et Immunologie, Hôpital Sainte-Justine, 3175, Chemin Sainte-Catherine, Montréal, Québec H3T 1C5
Rights & Permissions [Opens in a new window]

Summary:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

An 8 year old boy developed cerebral abscess and purulent meningitis due to Clostridium perfringens and Clostridium paraputrificum after trauma to the left orbit. The patient made a satisfactory recovery with surgical treatment and antibiotic therapy. A review of the literature revealed that meningitis due to Clostridia is rare and usually related to penetrating trauma, and that penetrating trauma to the orbit is associated with significant central nervous system morbidity.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1981

References

Alexander, J.G. (1969). A case of fatal Clostridium welchii toxaemia due to ward infection. J. Clin. Pathol. 22: 508.CrossRefGoogle ScholarPubMed
Bard, L.A.Jarrett, W.H. (1964). Intracranial complications of penetrating orbital injuries. Arch. Ophthal. 71: 332343.Google ScholarPubMed
Bornstein, D.L., Weinberg, N., Swartz, M.N.et al (1964). Anaerobic infections-review of current experience. Medecine (Baltimore) 43: 207232.CrossRefGoogle ScholarPubMed
Cairns, H., Calvert, C.A., Daniel, P., et al (1947). Complications of head wounds with especial reference to infection. Br. J. Surg. (War Surg. Supp. no. 1) I: 198243.Google Scholar
Colwell, F.G., Sullivan, J., Shuman, H.H., et al (1960). Acute purulent meningitis due to Clostridium perfringens. Report of a case. New Engl. J. Med. 262: 618619.CrossRefGoogle ScholarPubMed
Conomy, J.P., Dalton, J.W. (1969). Clostridium perfringens meningitis-Report of a case with neuropathological observations. Arch. Neurol. (Chicago) 21: 4450.CrossRefGoogle ScholarPubMed
Duffy, G.P., Bhandari, Y.S. (1969). Intracranial complications following transorbital penetrating injuries. Br. J. Surg. 56: 685688.CrossRefGoogle ScholarPubMed
Dujovny, M., Osgood, C.P., Maroon, J.C., et al (1975). Penetrating intracranial foreign bodies in children. J. Trauma 15: 981986.CrossRefGoogle ScholarPubMed
Fanning, W.L., Willett, L.R., Phillips, C.J., et al (1976). Puncture wound of the eyelid causing brain abscess. J. Trauma 16: 919920.CrossRefGoogle ScholarPubMed
Finegold, S.M., Flora, D.J., Attebery, H.R., Sutter, V.L. (1975). Fecal bacteriology of colonic polyp patients and control patients. Cancer Res. 35: 34053417.Google ScholarPubMed
Foy, P., Sharr, M. (1980). Cerebral abscess in children after pencil-tip injuries. Lancet II: 662663.CrossRefGoogle ScholarPubMed
Fred, H.L., Mayhall, C.G., Harle, T.S. (1968). Hepatic portal venous gas. A review and report on six new cases. Am. J. Med. 44: 557565.CrossRefGoogle ScholarPubMed
Ganchrow, M.I., Brief, D.R. (1971). A case of meningitis secondary to Clostridium welchii. J. Trauma 11: 444446.CrossRefGoogle ScholarPubMed
Gehrz, R.C., Ward, R.M., Lien, R.H.et al. (1976). Meningitis due to combined infections. Association of Haemophilus influenzae type B and Clostridium perfringens. Am. J. Dis. Child. 130: 877879.Google ScholarPubMed
Grashchenkov, N.I. (1945). Anaerobic infection of brain. Am. Rev. Soviet Med. 3: 518.Google Scholar
Guthkelch, A.N. (1960). Apparently trivial wounds of the eyelid with intracranial damage. Br. Med. J. II: 842844.CrossRefGoogle Scholar
Henderson, J.K., Kennedy, W.F.C., Potter, J.M. (1954). Recovery from acute Clostridium welchii meningitis. Br. Med. J. II: 1400.Google Scholar
Mackay, N.N.S., Grüneberg, R.N., Harries, B.J., Thomas, P.K. (1971). Primary Clostridium welchii meningitis. Brit. Med. J. 1: 591592.CrossRefGoogle ScholarPubMed
Miller, C.F. II, Brodkey, J.S., Colombi, B.J. (1977). The danger of intracranial wood. Surg. Neurol. 7: 95103.Google ScholarPubMed
Møller, B. (1955). Purulent Clostridium welchii meningitis originating from a penetrating wound. Acta Chir. Scand. 109: 394399.Google Scholar
Rathbun, H.K. (1968): Clostridial bacteremia without hemolysis. Arch. Intern. Med. 122: 496501.Google ScholarPubMed
Report by Committee of Soviet Scientists (1943). Gas infection of brain as one form of serious complications of cerebro-cranial injuries. Br. Med. J. I: 785788.Google Scholar
Sikorski, J.B., Gilroy, J., Meyer, J.S., (1963). Clostridium perfringens (gas bacillus) septicemia and acute purulent meningitis. Harper Hosp. Bull. 21: 3842.Google ScholarPubMed
Vérin, P.H., Vildy, A., Benjelloun, D. (1976). Méningite par traumatisme oculaire. Bull. Soc. Ophtal. Fr. 76: 969970.Google Scholar
Willis, A.T., Jacobs, S.I. (1964). A case of meningitis due to Clostridium welchii. J. Pathol. Bacteriol. 88: 312314.CrossRefGoogle ScholarPubMed
Wiot, J.F., Felson, B., (1961). Gas in the portal venous system. Am. J. Roentgenol. Radium Ther. Nucl. Med. 86: 920929.Google ScholarPubMed
Wright, R.L.Postoperative craniotomy infections. Charles C. Thomas, Springfield, 111., 1966. p. 64.Google Scholar