Related Experiment Video
Updated: Sep 16, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Stenotrophomonas maltophilia meningitis: to look for in post-neurosurgical state
Sanjana Kumari1, Hitender Gautam1, Neha Nityadarshini1
1Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
Stenotrophomonas maltophilia is a less frequently reported pathogen associated with meningitis but it's involvement cannot be ignored in nosocomial settings, especially post interventional procedures. Managing these cases is difficult, owing to the organism's intrinsic resistance to large number of antibiotics. Here, we report three cases in which patients presented with meningitis caused by Stenotrophomonas maltophilia post neurosurgical procedure.
Insights
Stenotrophomonas maltophilia meningitis is rare but serious in hospital settings, particularly after neurosurgery. This study highlights three challenging cases due to antibiotic resistance.
Area of Science:
- Infectious Diseases
- Neuroscience
- Medical Microbiology
Background:
- Stenotrophomonas maltophilia is an opportunistic pathogen.
- Meningitis is an infection of the membranes surrounding the brain and spinal cord.
- Nosocomial infections are acquired during a hospital stay.
Observation:
- This report details three cases of Stenotrophomonas maltophilia meningitis.
- All patients underwent neurosurgical procedures prior to developing meningitis.
- The cases highlight the challenges in managing this infection.
Findings:
- Stenotrophomonas maltophilia presents a significant challenge in meningitis cases.
- Intrinsic antibiotic resistance complicates treatment strategies.
- Post-neurosurgical meningitis requires careful consideration of this pathogen.
Implications:
- Increased vigilance for Stenotrophomonas maltophilia meningitis in post-neurosurgical patients is warranted.
- Development of effective treatment protocols for resistant strains is crucial.
- Further research into Stenotrophomonas maltophilia pathogenesis and treatment is needed.
Related Concept Videos
Aneurysm IV: Nursing Management
Acute Pyelonephritis II: Diagnostic Studies and Management
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:

