Work

Crossing boundaries: E. coli meningitis as an uncommon complication of hemorrhoidectomy

Year: 2025

Type: article

Abstract: Escherichia coli meningitis is a rare cause of meningitis in adults. Overall, mortality due to meningitis is improving, but remains high for gram negative bacteria. It often progresses rapidly, and even if treated appropriately, can lead to long-term complications. An emerging concern is bacterial resistance to the empiric antibiotic regimen used in meningitis. The effect of adjunct dexamethasone on reducing mortality or preventing complications remains inconclusive. Here, we discuss a case of severe E. coli meningitis in a 56-year-old woman after a hemorrhoidectomy, leading to brain herniation and cardiac arrest.

Source: IDCases

DOI: 10.1016/j.idcr.2025.e02292

Authors: Zarif Kazi, Asbah Rahman, Branden Biegert, Jordan Daloya, Chanaka Seneviratne

Institution: Maimonides Medical Center

Language: English

Topic: Bacterial Infections and Vaccines

Subfield: Microbiology

Field: Immunology and Microbiology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,370