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Background  Community-acquired bacterial meningitis due to  Klebsiella pneumoniae  has mainly been described in Southeast Asia and has a poor prognosis. Severe invasive infections caused by  K. pneumoniae , including meningitis, are often due to hypervirulent strains  (hvKP),  which are characterized by capsular serotypes K1 and K2, a gene responsible for hypermucoviscosity, and the cluster for synthesis of the siderophore aerobactin.    Case presentation  A 55 year old man with a history of essential hypertension, benign prostate hyperplasia, hyperlipidemia, obstructive sleep apnea, and chronic alcoholism was admitted for meningitis due to  Klebsiella pneumoniae  with a wild-type susceptibility profile. Its genomic features were consistent with a capsular K2 strain belonging to clonal group 86 (CG86) displaying the large virulence of  Klebsiella  plasmid (pLVPK) with heavy metal resistance gene clusters, aerobactin,  rmpA.Conclusion  This is the first case of community-acquired meningitis caused by a hypervirulent strain of  hvKP  ever reported in the Caribbean.

Community-acquired meningitis caused by a CG86 hypervirulent Klebsiella pneumoniae strain: first case report in the Caribbean