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“Spontaneous” pneumocephalus associated with aerobic bacteremia

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      Abstract

      Three cases of “spontaneous” pneumocephalus suspected to have resulted from aerobic bacteremia caused by Enterobacter cloacae, Escherichia coli, and Klebsiella aerogenes are reported. In two cases, the E. cloacae and K. aerogenes were isolated from the cerebrospinal fluid. These cases were characterized by a rapid accumulation of air, without niveau, in the subarachnoid space and ventricles.

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      References

        • Chiari H.
        Ueber einen Fall von Luftensammlung in der Ventrikein des menschlichen Gehirns.
        Z Heilkd. 1884; 5: 383-390
        • Markham J.W.
        The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases.
        Acta Neurochir (Wien). 1967; 16: 1-78
        • Azar-Kia B.
        • Sarwar M.
        • Batnizky S.
        • Schechner M.M.
        Radiology of intracranial gas.
        Am J Roentgenol Radium Ther Nucl Med. 1975; 124: 315-323
        • Young R.F.
        • Frazee J.
        Gas within intracranial abscess cavities: an indication for surgical excision.
        Ann Neurol. 1984; 16: 35-39
        • Goldmann R.W.
        Pneumocephalus as a consequence of barotrauma.
        JAMA. 1986; 255: 3154-3156
        • Klopfenstein C.E.
        Pneumocephalus; a complication of continuous positive airway pressure after trauma.
        Chest. 1980; 78: 656-657
        • Maliwan N.
        ‘Spontaneous’ pneumocephalus associated with mixed aerobic-anaerobic bacterial meningitis.
        J Infect Dis. 1985; 152: 847-848
        • Yang S.Y.
        Brain abscess: a review of 400 cases.
        J Neurosurg. 1981; 55: 794-799
        • Briody B.A.
        Infections caused by gram-positive cocci.
        in: Briody B.A. Gillis R.E. Microbiology and Infectious Disease. McGraw-Hill, New York1974: 307-343
        • Finegold S.M.
        Management of anaerobic infections.
        Am Intern Med. 1975; 83: 375-387
        • Heineman H.S.
        • Braude A.J.
        Anaerobic infection of the brain.
        Am J Med. 1963; 35: 682-697
        • Russell J.A.
        • Taylor J.C.
        Circumscribed gas-gangrene abscess of the brain: case report together with an account of the literature.
        Br J Surg. 1963; 50: 434-437
        • Morello A.
        • Bettinazzi N.
        Brain abscess due to gas bacillus infection.
        J Neurosurg. 1966; 24: 752-754
        • Norrell H.
        • Howieson J.
        Gas containing brain abscesses.
        Am J Roentgenol. 1970; 109: 273-276
        • Gando S.
        • Kitami K.
        • Tuginaga H.
        • et al.
        Nonclostridial gas-producing brain abscess in the brain death patient: report of a case.
        Brain & Nerve. 1988; 40: 247-252
        • Meadows P.S.
        • Anderson J.G.
        • Patel K.
        • Mullins B.W.
        Variability in gas production by Escherichia coli in enrichment media and its relationship to pH.
        Appl Environ Microbiol. 1980; 40: 309-312
        • Dandy W.E.
        Pneumocephalus: intracranial pneumotocele or aeroceles.
        Arch Surg. 1926; 12: 949-982
        • Wills M.R.
        • Reece M.W.
        Nonclostridial gas infection in diabetes mellitus.
        Br Med J. 1960; 2: 566-568
        • Bueschkens D.H.
        • Stiles M.E.
        Escherichia coli variants for gas and indole productions as elevated incubation temperatures.
        Appl Environ Microbiol. 1984; 48: 601-605
        • Steudel W.I.
        • Hacker H.
        Prognosis, incidence and management of acute traumatic intracranial pneumocephalus.
        Acta Neurochir. 1986; 80: 93-99
        • Walker F.O.
        • Vern B.A.
        The mechanism of pneumocephalus formation in patients with CSF fistulas.
        J Neurol Neurosurg Psychiat. 1986; 49: 203-205
        • Odake G.
        Gas-producing brain abscess due to Peptostreptococcus.
        Neurol Med Chir (Tokyo). 1984; 24: 46-50
        • Taguchi Y.
        • Sato J.
        Gas-containing brain abscess due to Fusebacterium nucleatum.
        Surg Neurol. 1981; 16: 408-410