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Published on: November 5, 2019
[Nosocomial post-neurosurgery meningitis due to Corynebacterium jeikeium]
Sabrina Morosi1, Massimo Marroni, Ada Maristella Egidi
1Clinica delle Malattie Infettive, Dipartimento di Medicina Sperimentale e Scienze Biochimiche, Università degli Studi di Perugia. sabrinamorosi@hotmail.com
Abstract:
Among the post neurosurgery infections the meningitis due to Corynebacterium jeikeium are rare, particularly without central nervous system devices. We report a case of a 78 year-old patient with chronic myeloproliferative syndrome, who developed an acute meningeal syndrome by Corynebacterium jeikeium post hypophyseal macroadenoma resection.
Insights
Rare meningitis caused by Corynebacterium jeikeium occurred in a patient post-neurosurgery without central nervous system devices. This case highlights a unique infection following pituitary tumor removal.
Area of Science:
- Neuroscience
- Infectious Diseases
- Oncology
Background:
- Post-neurosurgical meningitis is a known complication, though rare.
- Corynebacterium jeikeium is an opportunistic pathogen typically associated with immunocompromised individuals or device-related infections.
Observation:
- A 78-year-old patient with chronic myeloproliferative syndrome underwent resection of a pituitary macroadenoma.
- The patient subsequently developed an acute meningeal syndrome.
Findings:
- Cultures revealed meningitis caused by Corynebacterium jeikeium.
- This infection occurred in the absence of any central nervous system devices.
Implications:
- This case underscores the potential for Corynebacterium jeikeium to cause meningitis in non-device-related post-neurosurgical settings.
- Highlights the importance of considering unusual pathogens in immunocompromised patients presenting with meningeal symptoms after surgery.
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