Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report

This report describes a case of coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in a 66-year-old immunocompetent female patient. The patient had undergone traditional procedures, including acupuncture, which possibly caused the coinfection. During treatment...

Full description

Bibliographic Details
Main Authors: Sang Woon Bae, Jong Ho Lee
Format: Article
Language:English
Published: Yeungnam University College of Medicine, Yeungnam University Institute Medical Science 2022-01-01
Series:Journal of Yeungnam Medical Science
Subjects:
Online Access:http://www.e-jyms.org/upload/pdf/yujm-2021-01074.pdf
_version_ 1818261207949246464
author Sang Woon Bae
Jong Ho Lee
author_facet Sang Woon Bae
Jong Ho Lee
author_sort Sang Woon Bae
collection DOAJ
description This report describes a case of coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in a 66-year-old immunocompetent female patient. The patient had undergone traditional procedures, including acupuncture, which possibly caused the coinfection. During treatment with susceptible antibiotics for bacterial meningitis, she developed hydrocephalus on the third day. Consequently, the patient recovered with a mild neurological deficit of grade 4 motor assessment in both upper and lower extremities at discharge. S. paucimobilis and L. monocytogenes are rare pathogens in developed countries, occurring only during environmental outbreaks. S. paucimobilis meningitis is rarely reported. Hence, the various presentations of S. paucimobilis meningitis and the antibiotic regimen for its treatment are hereby reported, in addition to a review of other similar reported cases. This case is a possible traditional procedure-related infection. Appropriate oversight and training should be emphasized regarding preventive measures of this kind of infection. A team approach with neurologists and neurosurgeons is imperative in treating patients with hydrocephalus-complicated meningitis.
first_indexed 2024-12-12T18:43:34Z
format Article
id doaj.art-d7538d73ee5543798c13e1d604ae42c9
institution Directory Open Access Journal
issn 2799-8010
language English
last_indexed 2024-12-12T18:43:34Z
publishDate 2022-01-01
publisher Yeungnam University College of Medicine, Yeungnam University Institute Medical Science
record_format Article
series Journal of Yeungnam Medical Science
spelling doaj.art-d7538d73ee5543798c13e1d604ae42c92022-12-22T00:15:36ZengYeungnam University College of Medicine, Yeungnam University Institute Medical ScienceJournal of Yeungnam Medical Science2799-80102022-01-01391677110.12701/yujm.2021.010742648Coinfection of meningitis and bacteremia in an immunocompetent patient: a case reportSang Woon Bae0Jong Ho Lee1 Department of Internal Medicine, Yeungnam University Hospital, Daegu, Korea Department of Laboratory Medicine, Yeungnam University College of Medicine, Daegu, KoreaThis report describes a case of coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in a 66-year-old immunocompetent female patient. The patient had undergone traditional procedures, including acupuncture, which possibly caused the coinfection. During treatment with susceptible antibiotics for bacterial meningitis, she developed hydrocephalus on the third day. Consequently, the patient recovered with a mild neurological deficit of grade 4 motor assessment in both upper and lower extremities at discharge. S. paucimobilis and L. monocytogenes are rare pathogens in developed countries, occurring only during environmental outbreaks. S. paucimobilis meningitis is rarely reported. Hence, the various presentations of S. paucimobilis meningitis and the antibiotic regimen for its treatment are hereby reported, in addition to a review of other similar reported cases. This case is a possible traditional procedure-related infection. Appropriate oversight and training should be emphasized regarding preventive measures of this kind of infection. A team approach with neurologists and neurosurgeons is imperative in treating patients with hydrocephalus-complicated meningitis.http://www.e-jyms.org/upload/pdf/yujm-2021-01074.pdfbacteremiacoinfectionmeningitis
spellingShingle Sang Woon Bae
Jong Ho Lee
Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report
Journal of Yeungnam Medical Science
bacteremia
coinfection
meningitis
title Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report
title_full Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report
title_fullStr Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report
title_full_unstemmed Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report
title_short Coinfection of meningitis and bacteremia in an immunocompetent patient: a case report
title_sort coinfection of meningitis and bacteremia in an immunocompetent patient a case report
topic bacteremia
coinfection
meningitis
url http://www.e-jyms.org/upload/pdf/yujm-2021-01074.pdf
work_keys_str_mv AT sangwoonbae coinfectionofmeningitisandbacteremiainanimmunocompetentpatientacasereport
AT jongholee coinfectionofmeningitisandbacteremiainanimmunocompetentpatientacasereport