Open AccessEnterobacter Meningitis and Challenges in Treatment
Author(s) -
Sunita Chauhan,
Jawad Noor,
Balaji Yegneswaran,
Hanish Kodali
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/20759.9081
Subject(s) - meningitis , medicine , incidence (geometry) , enterobacter , immunosuppression , pediatrics , neurosurgery , aseptic meningitis , antibiotics , intensive care medicine , surgery , biology , microbiology and biotechnology , biochemistry , physics , escherichia coli , optics , gene
Neurosurgical interventions are rarely associated with meningitis with a very low incidence rate ranging from 1.1% to 2.5%. Gram negative bacillary meningitis first described in the 1940's, previously uncommon has been increasing in the recent past associated with advanced age, immunosuppression and neurosurgery. Enterobacter meningitis though relatively uncommon is recently increasing in incidence and treatment is frequently complicated due to resistance to antibiotics making this a challenging, difficult to treat infection that may be associated with adverse clinical outcomes. Here, we describe a case of a 27-year-old patient diagnosed with brain sarcoma at the age of four years, who presented with Enterobacter meningitis following a neurosurgical intervention for resection of a recurrent brain tumor (meningioma on pathology) and had a prolonged hospital stay with a difficult to treat infection.