Open AccessMycobacterium mucogenicum meningitis due to external ventricular drain
Author(s) -
Salwa Moiz,
Omar Rahman,
Mark Morcos,
Asma Siddiqui,
Usman Hameed
Publication year - 2020
Publication title -
access microbiology
Language(s) - English
Resource type - Journals
ISSN - 2516-8290
DOI - 10.1099/acmi.0.000167
Subject(s) - meningitis , medicine , hydrocephalus , pathogenic organism , antibiotics , external ventricular drain , ventriculitis , cerebrospinal fluid , mycobacterium chelonae , intensive care medicine , microbiology and biotechnology , surgery , mycobacterium , biology , pathology , tuberculosis
IntroductionMycobacterium mucogenicumis a rare non-tuberculous organism associated with catheter-related infections when pathogenic in humans. We present the first case of an external ventricular drain (EVD)-associatedM. mucogenicummeningitis. Case presentation A 55-year-old woman had EVD placement for obstructive hydrocephalus following traumatic subarachnoid haemorrhage. Cerebrospinal fluid (CSF) was obtained 5 days later for fever and neurological changes.M. mucogenicumwas ultimately isolated from the CSF and the patient was placed on appropriate antibiotics. Her management included replacement of the EVD and a prolonged course of anti-mycobacterial antibiotics. CSF findings showed her response to therapy and neurological exam improved after 6 weeks. ConclusionM. mucogenicuminfections are very rare and existing reports indicate that it may be a device- or catheter-related pathogen. This microorganism has not been previously associated with an EVD. Ours may be the first documented report of EVD-relatedM. mucogenicuminfection.