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Lumboperitonial shunt infection due to Chryseobacterium indologenes
Hossam Al-Tatari1, Basim I Asmar, Jocelyn Y Ang
1Division of Infectious Diseases, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan 48201, USA.
Abstract:
Chryseobacterium indologenes central nervous system infection has not been reported. We present a case of lumboperitoneal shunt infection caused by C. indologenes successfully treated with trimethoprim-sulfamethoxazole and rifampin in a pediatric patient. Forty-three additional cases of C. indologenes non-central nervous system infections reported in the English medical literature were reviewed. Risk factors for C. indologenes infections include underlying medical illnesses, underlying immunocompromising conditions and presence of indwelling intravascular devices.
Insights
Chryseobacterium indologenes central nervous system infection is rare. A pediatric case involving a lumboperitoneal shunt was successfully treated with trimethoprim-sulfamethoxazole and rifampin.
Area of Science:
- Infectious Diseases
- Neuroscience
- Pediatrics
Background:
- Chryseobacterium indologenes is an opportunistic pathogen.
- Central nervous system (CNS) infections are uncommon manifestations of C. indologenes.
Observation:
- A pediatric patient developed a lumboperitoneal shunt infection due to C. indologenes.
- The infection was successfully managed with a combination of trimethoprim-sulfamethoxazole and rifampin.
Findings:
- This case represents the first reported instance of C. indologenes CNS infection.
- A review of 43 additional non-CNS C. indologenes infections identified risk factors including underlying medical conditions, immunocompromise, and indwelling intravascular devices.
Implications:
- This study expands the known spectrum of C. indologenes infections.
- Effective treatment options for C. indologenes CNS infections are suggested.
- Identifying risk factors aids in early diagnosis and management of C. indologenes infections.
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