Bacillus cereus meningoencephalitis in an immunocompetent patient
Central nervous system (CNS) infection from Bacillus cereus (B. cereus) is rare and usually occurs in immunosuppressed patients or in a presence of invasive CNS devices. Our case reported here is a very rare case of an immunocompetent elderly patient without any CNS devices who was diagnosed with B....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250922002050 |
| _version_ | 1798032110949236736 |
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| author | Pichaya Tao Worapongsatitaya Jakrapun Pupaibool |
| author_facet | Pichaya Tao Worapongsatitaya Jakrapun Pupaibool |
| author_sort | Pichaya Tao Worapongsatitaya |
| collection | DOAJ |
| description | Central nervous system (CNS) infection from Bacillus cereus (B. cereus) is rare and usually occurs in immunosuppressed patients or in a presence of invasive CNS devices. Our case reported here is a very rare case of an immunocompetent elderly patient without any CNS devices who was diagnosed with B. cereus meningoencephalitis and bacteremia. According to our patient, preceding gastrointestinal (GI) symptoms and trans-sphenoidal hypophysectomy could be the precipitating factors. A positive blood culture should not be concluded as a contamination but prompt repeating another set of blood culture for a better clinical judgment. Given its abrupt clinical course and high mortality rate, high index of suspicion for rapid detection and management is needed for a preferable clinical outcome. Empiric treatment with intravenous vancomycin is reasonable before a susceptibility result becomes available. |
| first_indexed | 2024-04-11T20:08:39Z |
| format | Article |
| id | doaj.art-e19a0b8b626843c8a8eef54273f58ed8 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-11T20:08:39Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-e19a0b8b626843c8a8eef54273f58ed82022-12-22T04:05:15ZengElsevierIDCases2214-25092022-01-0129e01577Bacillus cereus meningoencephalitis in an immunocompetent patientPichaya Tao Worapongsatitaya0Jakrapun Pupaibool1Department of Internal Medicine, University of Minnesota, Minneapolis, MN, USADivision of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA; Corresponding author.Central nervous system (CNS) infection from Bacillus cereus (B. cereus) is rare and usually occurs in immunosuppressed patients or in a presence of invasive CNS devices. Our case reported here is a very rare case of an immunocompetent elderly patient without any CNS devices who was diagnosed with B. cereus meningoencephalitis and bacteremia. According to our patient, preceding gastrointestinal (GI) symptoms and trans-sphenoidal hypophysectomy could be the precipitating factors. A positive blood culture should not be concluded as a contamination but prompt repeating another set of blood culture for a better clinical judgment. Given its abrupt clinical course and high mortality rate, high index of suspicion for rapid detection and management is needed for a preferable clinical outcome. Empiric treatment with intravenous vancomycin is reasonable before a susceptibility result becomes available.http://www.sciencedirect.com/science/article/pii/S2214250922002050Bacillus cereusMeningitisEncephalitisMeningoencephalitisCentral nervous system infection |
| spellingShingle | Pichaya Tao Worapongsatitaya Jakrapun Pupaibool Bacillus cereus meningoencephalitis in an immunocompetent patient IDCases Bacillus cereus Meningitis Encephalitis Meningoencephalitis Central nervous system infection |
| title | Bacillus cereus meningoencephalitis in an immunocompetent patient |
| title_full | Bacillus cereus meningoencephalitis in an immunocompetent patient |
| title_fullStr | Bacillus cereus meningoencephalitis in an immunocompetent patient |
| title_full_unstemmed | Bacillus cereus meningoencephalitis in an immunocompetent patient |
| title_short | Bacillus cereus meningoencephalitis in an immunocompetent patient |
| title_sort | bacillus cereus meningoencephalitis in an immunocompetent patient |
| topic | Bacillus cereus Meningitis Encephalitis Meningoencephalitis Central nervous system infection |
| url | http://www.sciencedirect.com/science/article/pii/S2214250922002050 |
| work_keys_str_mv | AT pichayataoworapongsatitaya bacilluscereusmeningoencephalitisinanimmunocompetentpatient AT jakrapunpupaibool bacilluscereusmeningoencephalitisinanimmunocompetentpatient |