Lepur, Dragan and Kutleša, Marko and Baršić, Bruno (2011) Induced hypothermia in adult community-acquired bacterial meningitis--more than just a possibility? Journal of Infection, 62 (2). pp. 172-7. ISSN 0163-4453
We present the case series of adult community-acquired bacterial meningitis treated with hypothermia. The major criteria for therapeutic hypothermia (TH) was impaired carbon dioxide reactivity (CO(2)R) assessed by Transcranial Doppler (TCD). In patients without temporal acoustic window, minor criteria (optic nerve sheath diameter ≥ 6.0 mm plus GCS ≤ 8) were required. According to our, although limited experience, the use of mild hypothermia in selected patients with community-acquired bacterial meningitis accompanied with appropriate monitoring could be a promising treatment tool.
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