The combined value of chemoprophylaxis and pneumococcal vaccine in the prevention of recurrent pneumococcal meningitis

被引:10
作者
Hristea, A [1 ]
Chiotan, M [1 ]
Tudose, M [1 ]
Mihalcu, F [1 ]
机构
[1] CANTACUZINO INST MICROBIOL,BUCHAREST,ROMANIA
关键词
D O I
10.1016/S0163-4453(97)94451-0
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We report the case of an immunocompetent patient who has been the subject of 39 episodes of recurrent pneumococcal meningitis over a 20 year period. The recurrences of bacterial meningitis due to cerebrospinal fluid leakage and the presence of chronic sinusitis were not influenced by the surgical repair of a fistula and the repeated surgical draining interventions on suppurating chronic sinusital foci. Phenoxymethylpenicillin treatment reduced the number of recurrences and the combination of pneumococcal vaccine and penicillin prophylaxis allowed a 5 year period free of any recurrences.
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页码:265 / 267
页数:3
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