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Enterococcus gallinarum group meningitis after transanal migration of the ventriculoperitoneal shunt: a pediatric

Mehmet Hakan Şahin1, Ufuk Temtek2

  • 1Neurosurgery Department, Faculty of Medicine, Ataturk University, Erzurum, Turkey. mhsahin21@hotmail.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|September 24, 2022
PubMed

Insights

This case report details the first pediatric Enterococcus gallinarum meningitis following bowel perforation from a ventriculoperitoneal shunt complication. Prompt diagnosis and tailored antibiotic therapy led to successful patient recovery.

Area of Science:

  • Infectious Diseases
  • Pediatric Neurology
  • Microbiology

Background:

  • Meningitis is a serious infection affecting the central nervous system.
  • Ventriculoperitoneal shunts are used to treat hydrocephalus but can have complications.
  • Enterococcus gallinarum is a rare cause of meningitis, especially in pediatric patients.

Observation:

  • A 30-month-old male presented with fever, vomiting, and a protruding ventriculoperitoneal shunt catheter.
  • The patient was diagnosed with intestinal perforation and meningitis.
  • Cerebrospinal fluid culture identified Enterococcus gallinarum group.

Findings:

  • This is the first reported case of Enterococcus gallinarum meningitis in a pediatric patient with shunt-related bowel perforation.
  • The patient received 6 weeks of intravenous antibiotics.
  • The patient underwent successful shunt revision and was discharged.

Implications:

  • Meningitis in patients with shunt complications and bowel perforation can be caused by rare pathogens like Enterococcus gallinarum.
  • Prompt identification of the causative agent through cerebrospinal fluid culture is crucial for effective treatment.
  • Tailored antibiotic therapy based on culture results and appropriate surgical management are essential for patient outcomes.

Keywords:
Bowel perforationDistal end migrationEnterococcus gallinarum meningitisVentriculo-peritoneal shunt complications

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