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Chryseobacterium arthrosphaerae ventriculitis: A case report.
Jae Hyoung Im1, Donghwi Kim2, Jin Ju Kim3
1Division of Infectious diseases, Department of Internal Medicine.
Trimethoprim/sulfamethoxazole effectively treated ventriculitis caused by multidrug-resistant Chryseobacterium arthrosphaerae. This antibiotic regimen offers a promising alternative for managing challenging bacterial infections.
Area of Science:
- Infectious Diseases
- Bacteriology
- Clinical Microbiology
Background:
- Chryseobacterium arthrosphaerae is a gram-negative bacterium recognized for inherent multidrug resistance, complicating treatment strategies.
- Nosocomial infections pose significant challenges in clinical settings, particularly in immunocompromised patients or those with indwelling devices.
Observation:
- A 56-year-old male with a 6-month external ventricular drainage catheter presented with cerebrospinal fluid pleocytosis and fever.
- The patient was diagnosed with ventriculitis attributed to Chryseobacterium arthrosphaerae following recurrent nosocomial infections.
Findings:
- Initial treatment with ciprofloxacin, minocycline, and rifampin showed limited efficacy.
- Switching to trimethoprim/sulfamethoxazole in combination with ciprofloxacin led to rapid improvement in pleocytosis and resolution of infection.
Implications:
- Trimethoprim/sulfamethoxazole, alone or with ciprofloxacin, is a potential therapeutic option for Chryseobacterium arthrosphaerae ventriculitis.
- This case highlights the importance of reassessing antibiotic regimens for multidrug-resistant bacterial infections.
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