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Actinobacillus ureae meningitis: case report and review of the literature
1Department of Emergency Medicine, University of California, San Diego Medical Center 92103-8676, USA.
Abstract:
Actinobacillus urea, formerly known as Pasteurella ureae, is an uncommon commensal of the upper respiratory tract in humans. It has been identified as the primary pathogen in 10 cases of meningitis and several cases of pneumonia, sepsis, and peritonitis. A case is presented that represents another documented case of meningitis due to this rare organism. Risk factors associated with serious infection due to Actinobacillus ureae and basic management approaches to posttraumatic meningitis in general are discussed.
Insights
Actinobacillus ureae, a rare upper respiratory tract bacterium, can cause serious infections like meningitis. This case highlights the risks and management of Actinobacillus ureae meningitis, particularly post-trauma.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Actinobacillus ureae, previously Pasteurella ureae, is an infrequent human upper respiratory tract commensal.
- While uncommon, Actinobacillus ureae has been implicated in severe infections including meningitis, pneumonia, sepsis, and peritonitis.
Observation:
- This report details an additional case of meningitis caused by Actinobacillus ureae.
- The case involves post-traumatic meningitis, emphasizing a specific clinical context.
Findings:
- The study discusses risk factors contributing to severe Actinobacillus ureae infections.
- Management strategies for post-traumatic meningitis are reviewed in the context of this rare pathogen.
Implications:
- This case contributes to the understanding of Actinobacillus ureae as a pathogen.
- It underscores the importance of considering rare organisms in diagnosing meningitis, especially after trauma.
- The findings may inform clinical practice regarding the diagnosis and treatment of meningitis caused by unusual bacteria.