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Recurrent Lymphocytic Pleural Effusion as a Complication of Ventriculopleural Shunt Meningitis Caused by

Abdelmohaymin A Abdalla1, Ragda Ali2, Mansi Oberoi1

  • 1Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.

Cureus
|March 17, 2021
PubMed

Insights

Cutibacterium acnes, normally found on skin, can cause serious infections. Effective antimicrobial therapy successfully treated a complicated ventriculopleural shunt meningitis and recurrent pleural infection caused by C. acnes.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Neurosurgery

Background:

  • Cutibacterium acnes (C. acnes) is a commensal bacterium of human skin, frequently implicated in foreign body infections.
  • While often considered a contaminant, C. acnes can cause severe invasive infections, including meningitis and pleural infections.

Observation:

  • A patient presented with ventriculopleural shunt meningitis, which subsequently developed into a recurrent lymphocytic pleural infection.
  • The pleural infection was attributed to C. acnes, a bacterium typically found on the skin.

Findings:

  • Complete antimicrobial therapy targeting C. acnes led to the resolution of the complicated pleural infection and effusions.
  • This case highlights the potential pathogenicity of C. acnes in foreign body-related infections.

Implications:

  • Aggressive antimicrobial treatment may be necessary for C. acnes-related foreign body infections, even when the bacterium is initially considered a contaminant.
  • Understanding the role of C. acnes in neurosurgical device infections is crucial for effective patient management.
  • This case underscores the importance of considering C. acnes in the differential diagnosis of persistent or recurrent pleural infections, especially in patients with shunts or other foreign bodies.
Keywords:
cutibacterium acnespleural effusionventriculopleural

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