Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
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Review Case Reports
Streptococcal meningitis complicating diagnostic myelography: three cases and review.
Bacterial meningitis is a rare complication of myelography. Most reported cases are due to miscellaneous streptococci, but the source of these organisms is uncertain. ⋯ We recently treated three patients with streptococcal meningitis following myelography performed with the contrast medium iopamidol. We discuss the diagnostic and therapeutic approach to postmyelography meningitis.
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The prognostic value of serum procalcitonin levels in 43 patients with acute melioidosis, an infection with a wide range of clinical manifestations, was assessed. In eight patients with mild localized infections, the median procalcitonin levels were 0.13 ng/mL (range, 0.02-0.46 ng/mL), which were similar to those in 19 healthy controls (median, 0.07 ng/mL; range, 0.03-0.15 ng/mL). ⋯ The serum concentration of procalcitonin correlates well with the severity of Pseudomonas pseudomallei infection and is comparable with other acute-phase markers. However, this prognostic indicator and marker of continuing disease activity is not specific to melioidosis and could be applied to other severe infections.