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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181f5e994
Case Reports

Aseptic (Chemical) Meningitis in a Child After Posterior Fossa Surgery

Shanker, Kanika MD*; Feja, Kristina N. MD, MPH*†‡; Tolan, Robert W. Jr MD*†§

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Abstract

Meningitis after neurosurgical procedures, including placement of ventriculoperitoneal shunts, is a frequently encountered infectious diseases problem, necessitating prompt and thoughtful evaluation. A 9-year-old girl developed meningitis after posterior craniotomy and ventriculoperitoneal shunt placement for management of a right-sided cerebellar pilocystic astrocytoma. Initial concerns included postoperative meningitis or shunt infection, but multiple cultures of cerebrospinal fluid were sterile, and she did not respond to antibacterial therapy. Aseptic or chemical meningitis (although uncommon and rarely reported) was considered, and treatment with dexamethasone was curative.

© 2011 Lippincott Williams & Wilkins, Inc.

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