World neurosurgery · 2016
Caulobacter spp: A Rare Pathogen Responsible for Paucisintomatic Persisitant Meningitis in a Glioblastoma Patient.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Penner Federica, Brossa Silvia, Barbui Anna Maria, Ducati Alessandro, Cavallo Rossana, Zenga Francesco
Аннотация
BACKGROUND: Caulobacter spp. are Gram-negative bacteria that have rarely been found to be pathogenic in humans.
CASE DESCRIPTION: This report describes the first case, to our knowledge, of meningitis in an adult patient caused by Caulobacter spp. A 75-year-old man was operated for a glioblastoma with no evident signs of primary infection in the wound site. Eight days after surgery, the patient developed signs and symptoms of meningitis. Caulobacter was then isolated on 3 separate occasions in the patient's cerebrospinal fluid. Thereafter, specific antibiotic therapy began. After 2 weeks of therapy, the patient was discharged with complete resolution of any related symptoms.
CONCLUSIONS: Caulobacter spp. can cause adult meningitis even where there is no evidence of surgical site infection.
CASE DESCRIPTION: This report describes the first case, to our knowledge, of meningitis in an adult patient caused by Caulobacter spp. A 75-year-old man was operated for a glioblastoma with no evident signs of primary infection in the wound site. Eight days after surgery, the patient developed signs and symptoms of meningitis. Caulobacter was then isolated on 3 separate occasions in the patient's cerebrospinal fluid. Thereafter, specific antibiotic therapy began. After 2 weeks of therapy, the patient was discharged with complete resolution of any related symptoms.
CONCLUSIONS: Caulobacter spp. can cause adult meningitis even where there is no evidence of surgical site infection.