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Citrobacter koseri meningitis: another freediving risk?
Gabriele Pollara1, Lloyd Savy, Ian Cropley
1Department of Infectious Diseases, Royal Free Hospital, Pond Street, London, UK. g.pollara@nhs.net
Abstract:
We present a rare case of meningitis caused by Citrobacter koseri in an immunocompetent adult who had recently been freediving. Middle ear pressure changes from this recreational activity, and the subsequent inflammatory response, are likely to have provided this environmental organism access to the central nervous system, and thus the ability to cause clinically significant infection.
Insights
A rare case of meningitis caused by Citrobacter koseri occurred in an immunocompetent adult after freediving. Middle ear pressure changes likely facilitated bacterial entry into the central nervous system, leading to infection.
Area of Science:
- Neurology
- Infectious Diseases
- Microbiology
Background:
- Citrobacter koseri is an opportunistic pathogen.
- Meningitis is a serious infection of the membranes surrounding the brain and spinal cord.
- Freediving involves significant pressure changes in the middle ear.
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