A two-year survey for posttraumatic meningitis in a Neurosurgical trauma center with an annual admission of 8500 patients, showed 24 cases of posttraumatic meningitis (PTM) in 1.6 cases per 1000 admission per year. Among the cases; 16 were male and 8 were female (sex ratio of 2:1). PTM appeared earlier than 7 days in 17 cases (early PTM) and in 9 other cases-later than 7 days (delayed PTM).42% of the cases were in their first decade of life. The most common cause was motor vehicle accidents; 13 patients (54%) had positive CSF culture (29.7% Streptococcus pneumonia; 20.8% Staphylococcus aureus; 4.1% Kelebsiela). In 46% the CSF cultures were negative.Fever was the most common symptom (79.1%) and CSF leakage was present in 8 cases (33.3%). The most common finding in skull was linear fracture (25%); the most common finding in CT Scan was pneumocephalus (20%). Therapeutic regiment was penicillin and chloramphenicle for 37% of the cases. Mortality rate was 12.5%.

INTRODUCTION: Endophthalmitis is a severe complication of penetrating ocular trauma. Posttraumatic endophthalmitis is a condition in which an infective organism gains access to the eye at the time of injury. The aim of this study was to identify some of the factors associated with increased incidence of posttraumatic endophthalmitis.METHODS: sectional analysis was performed on 458 consecutive patients with penetrating ocular trauma presenting to Feiz Hospital. Some clinical variables were evaluated for association with an increased risk of endophthalmitis.RESULTS: Endophthalmitis occurred in 45 (9.8%) of 458 patients. There was a statistical association between endophthalmitis and a rural setting, corneoscleral wounds, hyphema, and delayed primary repair.DISCUSSION: Patients living in villages, those undergoing surgery with delay, and patients with corneoscleral laceration and hyphema stood an increased risk of posttraumatic endophthalmitis. Identification of endophthalmitis risk factors would heighten suspicion for infection in certain eyes.