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Comamonas Testosteroni Meningitis in a Homeless Man
Author(s) -
Jin Long,
Perper Joshua A.,
Cina Stephen J.
Publication year - 2008
Publication title -
journal of forensic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.715
H-Index - 96
eISSN - 1556-4029
pISSN - 0022-1198
DOI - 10.1111/j.1556-4029.2008.00810.x
Subject(s) - comamonas testosteroni , meningitis , medicine , autopsy , meropenem , bruise , microbiology and biotechnology , surgery , biology , antibiotics , bacteria , genetics , antibiotic resistance
We report a case of meningitis caused by Comamonas testosteroni in a 54‐year‐old, alcoholic, homeless man. He, as a pedestrian, was struck by a car and suffered multiple fractures of the facial bones including the left frontal sinus. Over the course of 2‐week hospitalization, he was clinically diagnosed with multiple cerebral and cerebellar infarcts resulting in altered mental status. He was pronounced dead 15 days after the injury. At the time of autopsy, diffuse purulent meningitis was found on gross examination. A swab culture of the brain surface was positive for C. Testosteroni , a saprophytic organism commonly found in soil and water. This is the first reported case of fatal meningitis caused by this micro‐organism.