Postoperative neurosurgical infections due to bacillus species

Ronald F. Young, Robert N. Yoshimori, Dennis L. Murray, Paula J. Chou

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The cases of 2 patients with postoperative ventriculitis due to Bacillus species bacteria are presented. Bacillus licheniformis was isolated from one patient following removal of an intraventricular meningioma, and Bacillus cereus from another patient following placement of a ventriculoperitoneal shunt. Both isolates were resistant to a variety of antibiotics, but both were sensitive to gentamicin and chloramphenicol. These cases emphasize several points: (1) Bacillus species, usually thought to be nonpathogenic, may produce intracranial infections; (2) species identification is important for epidemiological purposes and for the selection of appropriate chemotherapeutic agents; and (3) in cases of suspected ventriculitis, chloramphenicol or gentamicin should be considered for Gram's staining revealing gram-positive bacilli. In addition, we recommend that when planning antibiotic prophylactic regimens, consideration should be given to including one of these agents to assure coverage of Bacillus species.

Original languageEnglish (US)
Pages (from-to)271-273
Number of pages3
JournalSurgical Neurology
Volume18
Issue number4
DOIs
StatePublished - Jan 1 1982

Fingerprint

Bacillus
Chloramphenicol
Infection
Gentamicins
Anti-Bacterial Agents
Ventriculoperitoneal Shunt
Bacillus cereus
Meningioma
Staining and Labeling
Bacteria

Keywords

  • antibiotic treatment
  • Bacillus cereus
  • Bacillus licheniformis
  • postoperative infection
  • shunt infection
  • ventriculitis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Young, R. F., Yoshimori, R. N., Murray, D. L., & Chou, P. J. (1982). Postoperative neurosurgical infections due to bacillus species. Surgical Neurology, 18(4), 271-273. https://doi.org/10.1016/0090-3019(82)90343-3

Postoperative neurosurgical infections due to bacillus species. / Young, Ronald F.; Yoshimori, Robert N.; Murray, Dennis L.; Chou, Paula J.

In: Surgical Neurology, Vol. 18, No. 4, 01.01.1982, p. 271-273.

Research output: Contribution to journalArticle

Young, RF, Yoshimori, RN, Murray, DL & Chou, PJ 1982, 'Postoperative neurosurgical infections due to bacillus species', Surgical Neurology, vol. 18, no. 4, pp. 271-273. https://doi.org/10.1016/0090-3019(82)90343-3
Young, Ronald F. ; Yoshimori, Robert N. ; Murray, Dennis L. ; Chou, Paula J. / Postoperative neurosurgical infections due to bacillus species. In: Surgical Neurology. 1982 ; Vol. 18, No. 4. pp. 271-273.
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N2 - The cases of 2 patients with postoperative ventriculitis due to Bacillus species bacteria are presented. Bacillus licheniformis was isolated from one patient following removal of an intraventricular meningioma, and Bacillus cereus from another patient following placement of a ventriculoperitoneal shunt. Both isolates were resistant to a variety of antibiotics, but both were sensitive to gentamicin and chloramphenicol. These cases emphasize several points: (1) Bacillus species, usually thought to be nonpathogenic, may produce intracranial infections; (2) species identification is important for epidemiological purposes and for the selection of appropriate chemotherapeutic agents; and (3) in cases of suspected ventriculitis, chloramphenicol or gentamicin should be considered for Gram's staining revealing gram-positive bacilli. In addition, we recommend that when planning antibiotic prophylactic regimens, consideration should be given to including one of these agents to assure coverage of Bacillus species.

AB - The cases of 2 patients with postoperative ventriculitis due to Bacillus species bacteria are presented. Bacillus licheniformis was isolated from one patient following removal of an intraventricular meningioma, and Bacillus cereus from another patient following placement of a ventriculoperitoneal shunt. Both isolates were resistant to a variety of antibiotics, but both were sensitive to gentamicin and chloramphenicol. These cases emphasize several points: (1) Bacillus species, usually thought to be nonpathogenic, may produce intracranial infections; (2) species identification is important for epidemiological purposes and for the selection of appropriate chemotherapeutic agents; and (3) in cases of suspected ventriculitis, chloramphenicol or gentamicin should be considered for Gram's staining revealing gram-positive bacilli. In addition, we recommend that when planning antibiotic prophylactic regimens, consideration should be given to including one of these agents to assure coverage of Bacillus species.

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