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Unveiling Therapeutic Challenges: A Unique Case of Intracranial Myroides odoratimimus Infection Following Hemorrhagic

Yosr Kadri1, Oumayma Belhouane1, Ons Haddad1

  • 1Department of Microbiology, Fattouma-Bourguiba University Hospital, Monastir, Tunisia.

Surgical Infections
|October 22, 2024
PubMed

Insights

Intracranial infections from Myroides odoratimimus are rare but serious. This case highlights successful treatment with meropenem and vancomycin for a neurosurgical patient.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Microbiology

Background:

  • Intracranial infections following neurosurgery present significant risks.
  • Myroides odoratimimus, a gram-negative bacterium, is an uncommon cause of such infections, posing diagnostic and therapeutic challenges due to limited clinical data.
  • External ventricular drains are a known risk factor for neurosurgical site infections.

Purpose of the Study:

  • To report the second case of intracranial Myroides odoratimimus infection in an immunocompetent adult.
  • To describe the management and treatment of this rare infection associated with external ventricular drains.
  • To provide insights into therapeutic strategies for Myroides odoratimimus intracranial infections.

Main Methods:

  • Case report detailing a patient with intracranial infection.
  • Review of clinical presentation, diagnostic workup, and treatment course.
  • Antimicrobial susceptibility testing and treatment selection.

Main Results:

  • Successful treatment of intracranial Myroides odoratimimus infection in an immunocompetent adult.
  • A 21-day course of intravenous meropenem and vancomycin was effective.
  • The patient recovered without significant sequelae.

Conclusions:

  • Intracranial Myroides odoratimimus infections, though rare, require prompt diagnosis and appropriate antimicrobial therapy.
  • Meropenem and vancomycin can be effective treatment options.
  • This case contributes to the limited literature on managing this challenging pathogen in neurosurgical patients.
Keywords:
Myroides odoratimimusexternal ventricular drains (EVDs)intracranial infectionsneurosurgical complications immunocompetent host

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