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Mycobacterium fortuitum Meningitis Associated with an Epidural Catheter: Case Report and a Review of the Literature
Author(s) -
MadarasKelly Karl J.,
DeMasters Troy A.,
Stevens Dennis L.
Publication year - 1999
Publication title -
pharmacotherapy: the journal of human pharmacology and drug therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.227
H-Index - 109
eISSN - 1875-9114
pISSN - 0277-0008
DOI - 10.1592/phco.19.8.661.31530
Subject(s) - mycobacterium fortuitum , medicine , meningitis , imipenem , clarithromycin , catheter , surgery , ciprofloxacin , regimen , antibiotics , microbiology and biotechnology , pathology , mycobacterium , biology , antibiotic resistance , tuberculosis , helicobacter pylori
Mycobacterium fortuitum is a rapidly growing organism that has rarely been associated with meningitis. A patient developed M. fortuitum meningitis as the result of a permanent indwelling, contaminated, epidural catheter. Diagnosis and treatment of the disease are difficult in that clinical features may be indolent, and many antimicrobials with activity against M. fortuitum have minimal cerebrospinal fluid penetration. This patient was cured with an antibiotic regimen that consisted of doxycycline, ciprofloxacin, imipenem, and clarithromycin, and removal of the epidural catheter.