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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
Summary
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.