Open AccessMeningitis due to Roseomonas in an immunocompetent adolescent
Author(s) -
Rabbia S Waris,
Melissa Ballard,
David S Hong,
Talal B. Seddik
Publication year - 2021
Publication title -
access microbiology
Language(s) - English
Resource type - Journals
ISSN - 2516-8290
DOI - 10.1099/acmi.0.000213
Subject(s) - aseptic meningitis , neurosurgery , bacterial meningitis , medicine , meningitis , aseptic processing , cerebrospinal fluid , meropenem , microbiology and biotechnology , antibiotics , pathology , biology , surgery , antibiotic resistance
Both bacterial and aseptic meningitis can complicate neurosurgery, but they are often difficult to distinguish clinically or by cerebrospinal fluid (CSF) analysis. We present an adolescent with subacute meningitis after neurosurgery, eventually diagnosed with meningitis caused byRoseomonas mucosavia 16S rRNA gene sequencing after two negative CSF cultures. He was treated successfully with intravenous meropenem with full recovery. This case shows that distinguishing bacterial from aseptic meningitis is important to allow directed antibiotic therapy. We recommend considering bacterial meningitis in the differential diagnosis of aseptic meningitis complicating neurosurgery, and to perform molecular diagnostics such as bacterial sequencing if the suspicion of bacterial meningitis is high.