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Published on: November 5, 2019
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.
Abstract:
Chryseobacterium meningosepticum is an uncommon pathogen causing adult bacterial meningitis. Herein, we report the case history of one 21-year-old woman with this uncommon central nervous system infection. A diagnosis of adult C. meningosepticum meningitis can only be confirmed by a positive cerebrospinal fluid (CSF) culture. The patient had insulin-dependent diabetes mellitus as the underlying condition associated with this infection. The clinical presentations were fever, headache, consciousness disturbance, and seizure. CSF analysis revealed a purulent inflammatory reaction. After a 21-day course of intravenous cefepime (6 g/day) treatment, this patient was discharged in a state of complete recovery.
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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