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Article
February 1981

Meningitis Caused by Acinetobacter calcoaceticus var anitratusA Specific Hazard in Neurosurgical Patients

Author Affiliations

From the Maxwell Finland Laboratory for Infectious Diseases, Boston City Hospital, and the Division of Infectious Disease, Boston University School of Medicine (Dr McCabe); and East Tennessee State University School of Medicine, and the Division of Infectious Disease, Veterans Administration Medical Center, Johnson City, Tenn (Dr Berk).

Arch Neurol. 1981;38(2):95-98. doi:10.1001/archneur.1981.00510020053007
Abstract

Acinetobacter calcoaceticus var anitratus caused meningitis in five patients between 1968 and 1978 at two hospitals affiliated with Boston University School of Medicine. All patients had had head trauma or neurosurgical procedures prior to the development of meningitis. The course of the disease was relatively indolent in that fulminant disease did not occur even when initial therapy was inappropriate and bacteria persisted in CSF. All five patients survived. On Gram's stain of CSF, A calcoaceticus may be confused with meningococci, pneumococci, or Haemophilus influenzae and thus cause delay in appropriate diagnosis and therapy.

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