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A Lurking Threat of Community-Acquired Acinetobacter Meningitis-A Rare Case Report from Punjab, India
Navodhya Jindal1, Sonia Jain2, Arghya Bhowmick3
1Harvard Medical Centre, Moga 142001, Punjab, India.
Abstract:
Background: Acinetobacter spp. are a potential life-threatening cause of severe meningitis noted as a nosocomial infection after neurosurgical procedures in patients admitted to neurosurgical ICUs. Community-acquired Acinetobacter meningitis is extremely rare, and only a few cases have been reported in the literature. Case presentation: In this study, we report a patient from Punjab, India, who was infected after a roadside accident in which he developed CSF otorrhea and subsequent meningitis with Acinetobacter lwoffii. The patient was managed with the cephalosporin group of antibiotics as per the sensitivity report. For the first time, we report a rare case report of community-acquired Acinetobacter meningitis from Punjab, India. Conclusions: This case report highlights the potential pathogenicity of Acinetobacter lwoffii and increases concerns that this organism might rapidly evolve into a dreadful antibiotic-resistant community pathogen.
Insights
Community-acquired Acinetobacter meningitis is rare. This case highlights Acinetobacter lwoffii
Area of Science:
- Infectious Diseases
- Neuroscience
- Microbiology
Background:
- Acinetobacter spp. are a significant cause of nosocomial meningitis, particularly post-neurosurgery.
- Community-acquired Acinetobacter meningitis is exceptionally rare in medical literature.
Observation:
- A patient from Punjab, India, developed meningitis following a roadside accident with cerebrospinal fluid (CSF) otorrhea.
- The causative agent was identified as Acinetobacter lwoffii.
Findings:
- This case represents the first reported instance of community-acquired Acinetobacter meningitis in Punjab, India.
- Treatment involved cephalosporin antibiotics guided by antibiotic sensitivity testing.
Implications:
- Highlights the pathogenic potential of Acinetobacter lwoffii in community settings.
- Raises concerns about the potential evolution of Acinetobacter into a drug-resistant community pathogen.
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