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September 1982

Streptococcal Meningitis After Myelography

Author Affiliations

From the Infectious Disease Unit, Rochester (NY) General Hospital, and the Department of Medicine, University of Rochester (NY) School of Medicine and Dentistry (Dr Schlesinger), the Division of Infectious Diseases, Toronto General Hospital and University of Toronto (Dr Salit), and the Division of Infectious Diseases and the Department of Medicine, University of British Columbia, Vancouver (Dr McCormack).

Arch Neurol. 1982;39(9):576-577. doi:10.1001/archneur.1982.00510210046010

• Eight cases of streptococcal meningitis occurred after myelography with metrizamide or iophendylate injection. These cases were compared with six previously described episodes of lumbar puncture—related streptococcal meningitis. Careful examination of Gram's stain of CSF, positive in 79% of the cases, was useful as an aid in distinguishing streptococcal meningitis from the more common aseptic chemical meningitis induced by contrast media used in myelography.

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