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Enterobacter Meningitis Due To Dermoid Cyst Manipulation

Sedigheh Rafiei Tabatabei1, Roxana Azma2, Manijeh Kahbazi3

  • 1Pediatric Infections Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iranian Journal of Child Neurology
|October 4, 2018
PubMed

Insights

Pediatric Gram-negative meningitis, particularly Enterobacter meningitis, is rare but serious following dura-arachnoid barrier disruption. This case highlights successful management via antibiotics and surgical cyst removal.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Gram-negative meningitis can arise after disruption of the dura-arachnoid barrier due to trauma, surgery, or infected dermoid cysts.
  • Intracranial infections caused by gram-negative bacilli, such as Enterobacter, pose significant treatment challenges due to poor antibiotic penetration into cerebrospinal fluid.

Observation:

  • A rare case of pediatric Enterobacter meningitis is presented in a patient with a history of a manipulated dermoid cyst.
  • The patient presented with symptoms indicative of meningitis secondary to the cyst.

Findings:

  • The patient was successfully treated with a combination of antibiotic therapy and surgical excision of the infected dermoid cyst.
  • This approach effectively resolved the Enterobacter meningitis.

Implications:

  • This case underscores the importance of considering infected dermoid cysts as a potential cause of Gram-negative meningitis in pediatric patients.
  • Combined antibiotic and surgical management can be highly effective in treating such complex intracranial infections.
Keywords:
Antibacterial agentsDermoid cystEnterobacterMeningitis

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