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  • Title: Pseudomonas aeruginosa meningitis following stapedectomy.
    Author: Clairmont AA, Nicholson WL, Turner JS.
    Journal: Laryngoscope; 1975 Jun; 85(6):1076-83. PubMed ID: 806761.
    Abstract:
    Meningitis is a rare complication following stapedectomy. Most cases are preceeded by a fistula in the oval window. Although fatalities have been reported, most cases respond to parenteral and intrathecal antibiotics if diagnosed and treated early. Gram-positive organisms are the usual pathogens, but Gram-negative organisms may be found, especially as a superinfection following antibiotics administered prophylacticly or for the treatment of otitis media or mastoiditis. A case of Pseudomonas aeruginosa meningitis five weeks after stapedectomy, successfully treated with gentamicin, is reported. The discussion included the diagnosis of post-stapedectomy fistula and meningitis and current trends in treatment.
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