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 CASE REPORT
Year : 2013  |  Volume : 31  |  Issue : 3  |  Page : 293-295

Elizabethkingia meningoseptica : An emerging pathogen causing meningitis in a hospitalized adult trauma patient


1 Department of Laboratory Medicine, Hospital Infection Control, New Delhi, India
2 Department of Surgery, Jai Prakash Narayan Apex, Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India

Correspondence Address:
P Mathur
Department of Laboratory Medicine, Hospital Infection Control, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.115653

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A 23-year-old male patient who was a follow-up case of neurosurgery presented to our emergency department with a history of high-grade fever and clinical features of meningitis for 1 week. The cerebrospinal fluid (CSF) was sent to our laboratory for culture. The culture demonstrated growth of 1-2 mm in diameter light yellow coloured colonies of Gram-negative bacilli on chocolate and blood agar. There was no growth on MacConkey agar. The bacterium was multidrug resistant. Based upon the growth characteristics, bio-chemical reactions, drug susceptibility pattern and identification by Vitek 2 system the isolate was identified as Elizabethkingia meningoseptica. Patient was treated with injection piperacillin-tazobactam, injection vancomycin and cotrimoxazole tablets for 21 days along with intrathecal injection of tigecycline and finally, patient improved clinically and the CSF cultures became sterile. The presence in hospital environment along with multidrug resistance makes E. meningoseptica a successful emerging nosocomial pathogen.






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2004 - Indian Journal of Medical Microbiology
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