Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review
We report a case of Pseudomonas putida meningitis in a 26-year-old Nepalese man who was admitted to Hamad General Hospital with epidermoid cyst for drainage. Ommaya reservoir was placed into the cyst for drainage and externalventricular drainage (EVD) was performed. After four days, the patient was...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oman Medical Specialty Board
2017-03-01
|
| Series: | Oman Medical Journal |
| Subjects: | |
| Online Access: | http://omjournal.org/articleDetails.aspx?coType=1&aId=1906 |
| _version_ | 1811259091252674560 |
|---|---|
| author | Fahmi Yousef Khan Mohammed AbuKamar Deshmukh Anand |
| author_facet | Fahmi Yousef Khan Mohammed AbuKamar Deshmukh Anand |
| author_sort | Fahmi Yousef Khan |
| collection | DOAJ |
| description | We report a case of Pseudomonas putida meningitis in a 26-year-old Nepalese man who was admitted to Hamad General Hospital with epidermoid cyst for drainage. Ommaya reservoir was placed into the cyst for drainage and externalventricular drainage (EVD) was performed. After four days, the patient was transferred to the ward in stable condition. His weakness resolved partially and headache severity decreased. After three days, the patient developed fever and headache severity increased with deterioration of consciousness level. Cerebrospinal fluid (CSF) through EVD showed 2 200 leucocytes/µL, protein level of 295 mg/dL, and glucose level of < 1.8 mg/dL. Meropenem was started on the patient. Aspirate from Ommaya reservoir and CSF showed gram-negative rods and cultures yielded P. putida sensitive to cefepime, gentamycin, ciprofloxacin, and amikacin, but resistant to meropenem and piperacillin-tazobactam. EVD was replaced and the patient received cefepime and ciprofloxacin for 21 days after which he improved and was discharged with right sided residual weakness. |
| first_indexed | 2024-04-12T18:25:16Z |
| format | Article |
| id | doaj.art-2e9e40753b914925ba6aa416a4325666 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-04-12T18:25:16Z |
| publishDate | 2017-03-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-2e9e40753b914925ba6aa416a43256662022-12-22T03:21:17ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042017-03-0132216716910.5001/omj.2017.30Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature ReviewFahmi Yousef Khan0Mohammed AbuKamar1Deshmukh Anand2Department of Medicine, Hamad General Hospital, QatarInfectious Diseases Division, Department of Medicine, Hamad General Hospital, QatarMicrobiology Laboratory, Hamad General Hospital, QatarWe report a case of Pseudomonas putida meningitis in a 26-year-old Nepalese man who was admitted to Hamad General Hospital with epidermoid cyst for drainage. Ommaya reservoir was placed into the cyst for drainage and externalventricular drainage (EVD) was performed. After four days, the patient was transferred to the ward in stable condition. His weakness resolved partially and headache severity decreased. After three days, the patient developed fever and headache severity increased with deterioration of consciousness level. Cerebrospinal fluid (CSF) through EVD showed 2 200 leucocytes/µL, protein level of 295 mg/dL, and glucose level of < 1.8 mg/dL. Meropenem was started on the patient. Aspirate from Ommaya reservoir and CSF showed gram-negative rods and cultures yielded P. putida sensitive to cefepime, gentamycin, ciprofloxacin, and amikacin, but resistant to meropenem and piperacillin-tazobactam. EVD was replaced and the patient received cefepime and ciprofloxacin for 21 days after which he improved and was discharged with right sided residual weakness.http://omjournal.org/articleDetails.aspx?coType=1&aId=1906Nosocomial InfectionCommunity-Acquired Infection; Meningitis; Pseudomonas putidaCommunity-Acquired InfectionMeningitisPseudomonas putida |
| spellingShingle | Fahmi Yousef Khan Mohammed AbuKamar Deshmukh Anand Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review Oman Medical Journal Nosocomial Infection Community-Acquired Infection; Meningitis; Pseudomonas putida Community-Acquired Infection Meningitis Pseudomonas putida |
| title | Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review |
| title_full | Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review |
| title_fullStr | Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review |
| title_full_unstemmed | Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review |
| title_short | Nosocomial Pseudomonas putida Meningitis: A Case Report and Literature Review |
| title_sort | nosocomial pseudomonas putida meningitis a case report and literature review |
| topic | Nosocomial Infection Community-Acquired Infection; Meningitis; Pseudomonas putida Community-Acquired Infection Meningitis Pseudomonas putida |
| url | http://omjournal.org/articleDetails.aspx?coType=1&aId=1906 |
| work_keys_str_mv | AT fahmiyousefkhan nosocomialpseudomonasputidameningitisacasereportandliteraturereview AT mohammedabukamar nosocomialpseudomonasputidameningitisacasereportandliteraturereview AT deshmukhanand nosocomialpseudomonasputidameningitisacasereportandliteraturereview |