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Article: Intrathecal Baclofen Pump Infection With Meningitis: Effective Treatment by Radical Debridement and Intrareservoir Baclofen-Vancomycin Co-Infusion

TitleIntrathecal Baclofen Pump Infection With Meningitis: Effective Treatment by Radical Debridement and Intrareservoir Baclofen-Vancomycin Co-Infusion
Authors
Issue Date2021
Citation
Neuromodulation, 2021, v. 24 n. 7, p. 1223-1228 How to Cite?
AbstractOBJECTIVES: Intrathecal baclofen pump associated central nervous system (CNS) infection and meningitis is a rare but serious complication and may have dire consequences. Due to bacterial biofilm formation, the optimal treatment strategy is usually for removal of the pump, followed by systemic antibiotics for treatment of local and CNS infection. We describe this case of a patient with recurrent Staphylococcus aureus pump site empyema and meningitis leading to status dystonicus, who was successfully managed with radical debridement and intrareservoir baclofen-vancomycin co-infusion. MATERIALS AND METHODS: We retrospectively report a case of infected intrathecal baclofen pump with meningitis and provide a full review of literature. CONCLUSIONS: To the best of our knowledge, this is the first reported case of intrathecal baclofen (ITB)-associated pump site empyema and meningitis successfully treated with this technique. In selected cases where surgical explantation is deemed not feasible, this method can provide clinicians with an additional option for pump salvage and retention, while eradicating CNS infection and maintaining optimal control of spasticity and dystonia.
Persistent Identifierhttp://hdl.handle.net/10722/320554
ISSN
2021 Impact Factor: 3.025
2020 SCImago Journal Rankings: 1.296

 

DC FieldValueLanguage
dc.contributor.authorKoljonen, PA-
dc.contributor.authorChan, HSS-
dc.contributor.authorLiu, T-
dc.contributor.authorHo, CCA-
dc.contributor.authorChim, S-
dc.contributor.authorTsoi, NS-
dc.contributor.authorWong, YW-
dc.date.accessioned2022-10-21T07:55:31Z-
dc.date.available2022-10-21T07:55:31Z-
dc.date.issued2021-
dc.identifier.citationNeuromodulation, 2021, v. 24 n. 7, p. 1223-1228-
dc.identifier.issn1094-7159-
dc.identifier.urihttp://hdl.handle.net/10722/320554-
dc.description.abstractOBJECTIVES: Intrathecal baclofen pump associated central nervous system (CNS) infection and meningitis is a rare but serious complication and may have dire consequences. Due to bacterial biofilm formation, the optimal treatment strategy is usually for removal of the pump, followed by systemic antibiotics for treatment of local and CNS infection. We describe this case of a patient with recurrent Staphylococcus aureus pump site empyema and meningitis leading to status dystonicus, who was successfully managed with radical debridement and intrareservoir baclofen-vancomycin co-infusion. MATERIALS AND METHODS: We retrospectively report a case of infected intrathecal baclofen pump with meningitis and provide a full review of literature. CONCLUSIONS: To the best of our knowledge, this is the first reported case of intrathecal baclofen (ITB)-associated pump site empyema and meningitis successfully treated with this technique. In selected cases where surgical explantation is deemed not feasible, this method can provide clinicians with an additional option for pump salvage and retention, while eradicating CNS infection and maintaining optimal control of spasticity and dystonia.-
dc.languageeng-
dc.relation.ispartofNeuromodulation-
dc.titleIntrathecal Baclofen Pump Infection With Meningitis: Effective Treatment by Radical Debridement and Intrareservoir Baclofen-Vancomycin Co-Infusion-
dc.typeArticle-
dc.identifier.emailChan, HSS: sophehs@hku.hk-
dc.identifier.emailTsoi, NS: tsoins@hku.hk-
dc.identifier.authorityChan, HSS=rp02210-
dc.identifier.authorityTsoi, NS=rp02631-
dc.identifier.doi10.1111/ner.13369-
dc.identifier.hkuros340124-
dc.identifier.volume24-
dc.identifier.issue7-
dc.identifier.spage1223-
dc.identifier.epage1228-

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