Community-acquired Pseudomonas aeruginosa meningitis

Charles Gallaher1, James Norman2, Abhinav Singh3

  • 1Emergency Department, Chelsea and Westminster Hospital, London, UK.

BMJ Case Reports
|October 22, 2017
PubMed

Insights

Pseudomonas aeruginosa meningitis is rare, often linked to neurosurgery. This case highlights a community-acquired chronic P. aeruginosa meningitis linked to otosclerosis surgery five years prior.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Microbiology

Background:

  • Gram-negative bacilli are infrequent causes of meningitis.
  • Pseudomonas aeruginosa meningitis is typically associated with prior neurosurgical interventions.

Observation:

  • A patient presented with symptoms of chronic meningitis.
  • The meningitis was community-acquired and diagnosed as P. aeruginosa.

Findings:

  • The patient had undergone surgery for otosclerosis five years before the meningitis diagnosis.
  • This case represents a rare instance of community-acquired chronic P. aeruginosa meningitis with a delayed post-surgical complication.

Implications:

  • Highlights the potential for delayed central nervous system infections following otologic surgery.
  • Suggests considering P. aeruginosa in the differential diagnosis of chronic meningitis, even in community-acquired cases without typical risk factors.
  • Underscores the importance of long-term monitoring for infectious complications after otosclerosis surgery.

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