First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans
Purpose: Flavobacterium lindanitolerans is an environmental Gram-negative, non-spore-forming rod which is usually not considered to be a human pathogen. Isolation from human clinical samples has been described only once. We report the first case of meningoencephalitis and bacteraemia with Flavobacte...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2023-07-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/3980 |
| _version_ | 1827877447359528960 |
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| author | Rebecca Zurbuchen Mirjam de Roche Aikaterini Galimanis Kerstin Narr Olivier Dubuis Christiane Resch Mairi Ziaka |
| author_facet | Rebecca Zurbuchen Mirjam de Roche Aikaterini Galimanis Kerstin Narr Olivier Dubuis Christiane Resch Mairi Ziaka |
| author_sort | Rebecca Zurbuchen |
| collection | DOAJ |
| description | Purpose: Flavobacterium lindanitolerans is an environmental Gram-negative, non-spore-forming rod which is usually not considered to be a human pathogen. Isolation from human clinical samples has been described only once. We report the first case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans.
Case description: A 76-year-old female presented with fever, headache, alteration of mental status, marked meningism and dysarthria. A lumbar puncture demonstrated cerebrospinal fluid findings consistent with bacterial meningitis, and a broad-spectrum antibiotic therapy was initiated. Blood and cerebrospinal fluid cultures revealed a growth of Flavobacterium lindanitolerans. Based on antimicrobial susceptibilities testing, antibiotic treatment was changed to levofloxacin, resulting in a remission of the clinical symptoms after 21 days of treatment.
Conclusion: Flavobacterium species are extremely rare human pathogens. However, some of them have been reported to cause opportunistic infections. We describe the first case of meningoencephalitis and bacteraemia caused by Flavobacterium lindanitolerans which was effectively treated with levofloxacin for 21 days. |
| first_indexed | 2024-03-12T17:37:34Z |
| format | Article |
| id | doaj.art-4c0c70a893034907adcb7bb0fafd31a4 |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-03-12T17:37:34Z |
| publishDate | 2023-07-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-4c0c70a893034907adcb7bb0fafd31a42023-08-04T09:45:03ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942023-07-0110.12890/2023_0039803515First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitoleransRebecca Zurbuchen0Mirjam de Roche1Aikaterini Galimanis2Kerstin Narr3Olivier Dubuis4Christiane Resch5Mairi Ziaka6Department of Medicine, Thun Hospital, Thun, SwitzerlandDepartment of Medicine, Thun Hospital, Thun, SwitzerlandDepartment of Medicine, Thun Hospital, Thun, SwitzerlandViollier AG, Allschwil, SwitzerlandViollier AG, Allschwil, SwitzerlandDepartment of Medicine, Thun Hospital, Thun, SwitzerlandDepartment of Medicine, Thun Hospital, Thun, SwitzerlandPurpose: Flavobacterium lindanitolerans is an environmental Gram-negative, non-spore-forming rod which is usually not considered to be a human pathogen. Isolation from human clinical samples has been described only once. We report the first case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans. Case description: A 76-year-old female presented with fever, headache, alteration of mental status, marked meningism and dysarthria. A lumbar puncture demonstrated cerebrospinal fluid findings consistent with bacterial meningitis, and a broad-spectrum antibiotic therapy was initiated. Blood and cerebrospinal fluid cultures revealed a growth of Flavobacterium lindanitolerans. Based on antimicrobial susceptibilities testing, antibiotic treatment was changed to levofloxacin, resulting in a remission of the clinical symptoms after 21 days of treatment. Conclusion: Flavobacterium species are extremely rare human pathogens. However, some of them have been reported to cause opportunistic infections. We describe the first case of meningoencephalitis and bacteraemia caused by Flavobacterium lindanitolerans which was effectively treated with levofloxacin for 21 days.https://www.ejcrim.com/index.php/EJCRIM/article/view/3980flavobacterium lindanitoleransmeningoencephalitisgram-negative bacteriacerebral infectionbacterial meningitisgram-negative meningitis |
| spellingShingle | Rebecca Zurbuchen Mirjam de Roche Aikaterini Galimanis Kerstin Narr Olivier Dubuis Christiane Resch Mairi Ziaka First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans European Journal of Case Reports in Internal Medicine flavobacterium lindanitolerans meningoencephalitis gram-negative bacteria cerebral infection bacterial meningitis gram-negative meningitis |
| title | First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans |
| title_full | First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans |
| title_fullStr | First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans |
| title_full_unstemmed | First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans |
| title_short | First case of meningoencephalitis and bacteraemia with Flavobacterium lindanitolerans |
| title_sort | first case of meningoencephalitis and bacteraemia with flavobacterium lindanitolerans |
| topic | flavobacterium lindanitolerans meningoencephalitis gram-negative bacteria cerebral infection bacterial meningitis gram-negative meningitis |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/3980 |
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