Meningitis crónica

  1. Serrano González, A.
  2. de la Rubia, F.
  3. Pérez Guerrero, P.
  4. Soto Cárdenas, M.J.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2018

Issue Title: Enfermedades infecciosas (VI) Neumonías y meningitis

Series: 12

Issue: 54

Pages: 3210-3217

Type: Article

DOI: 10.1016/J.MED.2018.04.004 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Chronic meningitis is inflammation of the meninges that results in anomalies in the cerebrospinal fluid (CSF) that last for at least one month. The most common aetiologies of chronic meningitis are infectious, autoimmune and neoplastic. This review aims to present the current knowledge on the aetiology, the course and the diagnostic and therapeutic management of the disease. We review the most common aetiologies of chronic meningitis. However, despite technological advances, the aetiology of a third of patients with the disease has still not been clarified. This reflects the diagnostic challenge that this syndrome poses to physicians. Fortunately, most patients with chronic idiopathic meningitis have a relatively good prognosis.

Bibliographic References

  • Baldwin K, Whiting C. Chronic meningitis: simplifying a diagnostic challenge. Curr Neurol Neurosci Rep. 2016;16:30.
  • Baldwin KJ, Zunt JR. Evaluation and treatment of chronic meningitis. The Neurohospitalist. 2014;4:185-95.
  • Helbok R, Broessner G, Pfausler B, Schmutzhard E. Chronic meningitis. J Neurol. 2009;256:168-75.
  • Hildebrand J, Aoun M. Chronic meningitis: still a diagnostic challenge. J Neurol. 2003;250:653-660.
  • Mamidi A, DeSimone JA, Pomerantz RJ. Central nervous system infections in individuals with HIV-1 infection. J Neurovirol. 2002;8:158-67.
  • Koroshetz WJ, Nath A. Meningitis crónica y recurrente. 19ª ed. México D.F.: McGraw-Hill Interamericana; 2016. p. 906-10.
  • Akman-Demir G, Serdaroglu P, Tasci B. Clinical patterns of neurological involvement in Behcet’s disease: evaluation of 200 patients. The neuro Behcet study group. Brain. 1999;122: 2171-81.
  • Charleston AJ, Anderson NE, Willoughby EW. Idiopathic steroid responsive chronic lymphocytic meningitis- clinical features and long-term outcome in 17 patients. Aust N Z J Med. 1998;28:784-9.
  • Joseph FG, Scolding NJ. Sarcoidosis of the nervous system. Pract Neurol. 2007;7:234-44.
  • Kupersmith MJ, Martin V, Heller G, Shah A, Mitnick HJ. Idiopathic hypertrophic pachymeningitis. Neurology. 2004;62:686-94.
  • Chowdhary S, Chamberlain M. Leptomeningeal metastases: current concepts and management guidelines. J Natl Compr Canc Netw. 2005;3:693-703.
  • Bensmail D, Peskine A, Denys P, Bernard L, Bussel B. Aseptic meningitis after intrathecal baclofen injection. Spinal Cord. 2006;44:330-3.
  • Cano E, Mondéjar-Marin B, Navarro-Muñoz S, Pérez I, Garrido JA, Álvarez-Tejerina A. Meningitis recurrente aséptica secundaria a toma de ibuprofeno y ketorolaco. Rev Neurol. 2006;42:217-9.
  • Nesseler N, Polard E, Arvieux C, Coquerel N, Michelet C, Tattevin P. Aseptic meningitis associated with lamotrigine: report of two cases. Eur J Neurol. 2007;14:e3-e4.
  • Sexton DJ. Approach to the patient with chronic meningitis. Walthman (MA): UpToDate; 2015.
  • Anderson NE, Willoughby EW. Chronic meningitis without predisposing illness : a review of 83 cases. Q J Med. 1987;63:283-95.
  • Helbok R, Pongpakdee S, Yenjun S, Dent W, Beer R, Lackner P. Chronic meningitis in Thailand. Clinical characteristics, laboratory data and outcome in patients with specific reference to tuberculosis and cryptococcosis. Neuroepidemiology. 2006;26:37-44.
  • Cheng TM, O’Neill BP, Scheithauer BW, Piepgras DG. Chronic meningitis: the role of meningeal or cortical biopsy. Neurosurgery. 1994;34: 590-5.
  • Thwaites GE, Chau TT, Farrar JJ. Improving the bacteriological diagnosis of tuberculous meningitis. J Clin Microbiol. 2004;42:378-9.
  • Harris JR, Lindsley MD, Henchaichon S, Poonwan N, Naorat S, Prapasiri P. High prevalence of cryptococcal infection among HIV-infected patients hospitalized with pneumonia in Thailand. Clin Infect Dis. 2012;54:e43-50.
  • González-Martín J, García-García JM, Anibarro L, Vidal R, Es-teban J, Blanquer R. Documento de consenso sobre diagnóstico, tratamiento y prevención de la tuberculosis. Enferm Infecc Mi-crobiol Clin. 2010;28:297.e1-20.
  • Katti MK. Pathogenesis, diagnosis, treatment and outcome aspects of cerebral tuberculosis. Med Sci Monit. 2004;10:RA215-29.
  • Prasad K, Singh MB, Ryan H. Corticosteroids for managing tuberculous meningitis. Cochrane Database of Systematic Reviews. 2016;28:CD002244.
  • Halperin JJ. Nervous system Lyme disease. Infect Dis Clin North Am. 2015;29:241-53.
  • Colmenero JD, Reguera JM, Martos F, Sánchez De Mora D, Delgado M, Causse M. Complications associated with Brucella melitensis infection: a study of 530 cases. Medicine (Baltimore). 1996;75:195-211.
  • McLean DR, Russell N, Khan MY. Neurobrucellosis: clinical and therapeutic features. Clin Infect Dis. 1992;15:582-90.
  • Bennett J E. Meningitis crónica. Mandell, Douglas y Bennett Enfermedades infecciosas Principios y práctica. 8ª ed. España: Elsevier; 2016. p 1186-92.
  • Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines. MMWR Recomm Rep. 2015;64(RR-03):1-137.
  • Perfect JR, Dismukes WE, Dromer F, Goldman DL, Graybill JR, Hamill RJ. Clinical practice guidelines for the management of cryptococcal disease: 2010 update by the Infectious Diseases Society of America. Clin Infect Dis. 2010;50:291-322.
  • Vilchez RA, Fung J, Kusne S. Cryptococcosis in organ transplant recipients: an overview. Am J Transplant. 2002;2:575-80.
  • Kleinschmidt-De Masters BK. Central nervous system aspergillosis: a 20 year retrospective series. Hum Pathol. 2002;33:116-24.
  • Canton E, García-Rodríguez J, Martín-Mazuelos E, Pemán J, Guinea J. Métodos microbiológicos para el diagnóstico, manejo y estudio de la infección fúngica invasora. Enferm Infecc Microbiol Clín. 2014;32:375-9.
  • Walsh TJ, Anaissie EJ, Denning DW, Herbrecht R, Kontoyiannis DP, Marr KA. Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America. Clin Infect Dis. 2008;46:327-60.
  • Bariola JR Perry P, Pappas PG, Proia L, Shealey W, Wright PW. Blastomycosis of the central nervous system: a multicenter review of diagnosis and treatment in the modern era. Clin Infect Dis. 2010;50(6):797-804.
  • Smith JE, Aksamit AJ Jr. Outcome of chronic idiopathic meningitis. Mayo Clin Proc. 1994;69:548-56.