An adult case of Chryseobacterium meningosepticum meningitis

Cheng-Hsien Lu1, Chi-Ren Huang, Nai-Wen Tsai

  • 1Department of Neurology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Insights

Chryseobacterium meningosepticum meningitis is rare in adults. This case highlights successful cefepime treatment for a 21-year-old woman with diabetes, emphasizing cerebrospinal fluid culture for diagnosis.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Microbiology

Background:

  • Chryseobacterium meningosepticum is an infrequent cause of bacterial meningitis, particularly in adults.
  • Adult meningitis cases caused by this pathogen are uncommon, necessitating specific diagnostic considerations.

Observation:

  • A 21-year-old woman presented with symptoms including fever, headache, altered consciousness, and seizures.
  • The patient had a history of insulin-dependent diabetes mellitus, a potential predisposing factor.
  • Cerebrospinal fluid analysis indicated a purulent inflammatory response.

Findings:

  • Diagnosis was confirmed by positive cerebrospinal fluid culture for Chryseobacterium meningosepticum.
  • Intravenous cefepime at 6 g/day was administered for 21 days.
  • The patient achieved complete recovery following treatment.

Implications:

  • This case underscores the importance of considering uncommon pathogens in adult meningitis.
  • Cerebrospinal fluid culture remains the gold standard for diagnosing C. meningosepticum meningitis.
  • Effective treatment with cefepime can lead to favorable outcomes in affected patients.

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