Post Traumatic Meningitis in Neurosurgery Department (Clinical Report‪)‬

INTRODUCTION Head trauma either open or blunt ones is one of the important cause of admission in neurosurgery ward. There are many complications after head injuries. Nonetheless infection is a serious problem which is threatening hospitalized patients and nosocomial meningitis is a potentially devastating complication of traumatic brain injury [1,6]. Head trauma created many conditions that enhanced the risk of intracranial infection [7].The infectious agent gains access to the intracranial compartment by traumatic means. In these cases, the meningitis has to be classified as Post-Traumatic Meningitis (PTM). Nosocomial meningitis characteristics vary from the usual meningitis. Although the nosocomial meningitis is rare, there is a wide range of factors associated with post traumatic meningitis. Palabiyikoglu and colleagues elucidated that traumatic wound infection, post-surgical wound infection and ventriculoperitoneal shunt were associated with PTM [10]. Korinek et al. [5] substantiated the aforementioned factors and found other risk factors like CSF leakage, male sex, duration of surgery and neurological operation itself [5]. Recent study determined CSF leakage was an independent risk factor and concomitant infections like as sinusitis, otitis and pneumonia increased the risk of PTM [19].