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[Meningitis due to Pseudomonas stutzeri: a case report]

Nuriye Taşdelen Fişgin1, Ibrahim Cağatay Acuner, Ahmet Yilmaz Coban

  • 1Ondokuz Mayis Universitesi Tip Fakültesi, infeksiyon Hastaliklari ve Klinik Mikrobiyoloji Anabilim Dali, Samsun.

Mikrobiyoloji Bulteni
|October 20, 2004
PubMed

Insights

This case report details the first instance of Pseudomonas stutzeri meningitis in a neonate. The rare bacterial infection, resistant to initial treatment, highlights the need for awareness in neonatal intensive care units.

Area of Science:

  • Medical Microbiology
  • Neonatal Infectious Diseases

Background:

  • Pseudomonas stutzeri is typically a harmless, saprophytic bacterium.
  • Severe infections caused by P. stutzeri are uncommon, particularly in neonates.

Observation:

  • A 28-day-old male infant with a history of meningomyelocele presented with fever and meningitis.
  • Initial treatment with ceftriaxone showed temporary improvement.
  • A secondary meningitis attack occurred, with P. stutzeri isolated from cerebrospinal fluid (CSF).

Findings:

  • The P. stutzeri isolate demonstrated resistance to ceftriaxone.
  • Therapy was switched to meropenem, resulting in slight clinical improvement.
  • The infant was discharged against medical advice and later died.

Implications:

  • This case represents the first documented instance of P. stutzeri meningitis in a neonate.
  • Highlights the potential for rare pathogens to cause severe neonatal infections.
  • Emphasizes the importance of considering unusual bacterial causes of meningitis in neonates, especially those with underlying conditions.

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