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Meningitis due to Xanthomonas maltophilia: case report and review
1Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania.
Abstract:
Xanthomonas maltophilia is being increasingly recognized as an opportunistic pathogen in debilitated patients. We report a case of postoperative meningitis due to X. maltophilia and review the cases of X. maltophilia meningitis reported in the literature. Because X. maltophilia is often resistant to multiple beta-lactam agents, including cephalosporins and imipenem, trimethoprim-sulfamethoxazole appears to be the drug of choice for treatment of X. maltophilia meningitis.
Insights
Xanthomonas maltophilia is an opportunistic pathogen causing meningitis, especially in post-operative patients. Trimethoprim-sulfamethoxazole is the recommended treatment due to frequent resistance to other antibiotics.
Area of Science:
- Infectious Diseases
- Clinical Microbiology
- Neurosurgery
Background:
- Xanthomonas maltophilia is an emerging opportunistic pathogen.
- Debilitated and post-operative patients are particularly susceptible.
- Meningitis caused by X. maltophilia is rare but serious.