Coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in an immunocompetent patient: a case report
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This report describes a case of coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in a 66-year-old immunocompetent female patient. The patient had undergone traditional procedures, including acupuncture, which possibly caused the coinfection. During treatment with susceptible antibiotics for bacterial meningitis, she developed hydrocephalus on the third day. Consequently, the patient recovered with a mild neurological deficit of grade 4 motor assessment in both upper and lower extremities at discharge. S. paucimobilis and L. monocytogenes are rare pathogens in developed countries, occurring only during environmental outbreaks. S. paucimobilis meningitis is rarely reported. Hence, the various presentations of S. paucimobilis meningitis and the antibiotic regimen for its treatment are hereby reported, in addition to a review of other similar reported cases. This case is a possible traditional procedure-related infection. Appropriate oversight and training should be emphasized regarding preventive measures of this kind of infection. A team approach with neurologists and neurosurgeons is imperative in treating patients with hydrocephalus-complicated meningitis.
Abstract
This report describes a case of coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in a 66-year-old immunocompetent female patient. The patient had undergone traditional procedures, including acupuncture, which possibly caused the coinfection. During treatment with susceptible antibiotics for bacterial meningitis, she developed hydrocephalus on the third day. Consequently, the patient recovered with a mild neurological deficit of grade 4 motor assessment in both upper and lower extremities at discharge. S. paucimobilis and L. monocytogenes are rare pathogens in developed countries, occurring only during environmental outbreaks. S. paucimobilis meningitis is rarely reported. Hence, the various presentations of S. paucimobilis meningitis and the antibiotic regimen for its treatment are hereby reported, in addition to a review of other similar reported cases. This case is a possible traditional procedure-related infection. Appropriate oversight and training should be emphasized regarding preventive measures of this kind of infection. A team approach with neurologists and neurosurgeons is imperative in treating patients with hydrocephalus-complicated meningitis.
참고문헌 (20)
- Cheong HS, "Clinical features and treatment outcomes of infections caused by Sphingomonas paucimobilis", Infect Control Hosp Epidemiol, 29, pp.990~992 (2008)
- Ryan MP, "Sphingomonas paucimobilis : a persistent Gram-negative nosocomial infectious organism", J Hosp Infect, 75, pp.153~157 (2010)
- Crane LR, "Outbreak of pseudomonas paucimobilis in an intensive care facility", JAMA, 246, pp.985~987 (1981)
- Tuncer Göker, "Sphingomonas Paucimobilis : A Rare Infectious Agent Found in Cerebrospinal Fluid", 대한신경외과학회지, 60(4), pp.481~483 (2017), 대한신경외과학회
- 김탁, "Listeria monocytogenes에 의한 흉막삼출액을 동반한 폐렴 1예", Infection and Chemotherapy, 44(2), pp.87~91 (2012), 대한감염학회[DOI]
- Schlech WF, "Epidemiology and clinical manifestations of Listeria monocytogenes infection", Microbiol Spectr, 7 (2019)
- Pagliano P, "Listeria monocytogenes meningitis in the elderly : epidemiological, clinical and therapeutic findings", Infez Med, 24, pp.105~111 (2016)
- Toh HS, "Risk factors associated with Sphingomonas paucimobilis infection", J Microbiol Immunol Infect, 44, pp.289~295 (2011)
- Hajiroussou V, "Meningitis caused by Pseudomonas paucimobilis", J Clin Pathol, 32, pp.953~955 (1979)
- Tai ML, "Sphingomonas paucimobilis: an unusual cause of meningitis: case report", Neurol Med Chir (Tokyo), 54, pp.337~340 (2014)
- Bolen RD, "Sphingomonas paucimobilis meningitis and ventriculitis in an immunocompromised host", J Neurol Sci, 359, pp.18~20 (2015)
- Deveci N, "Sphingomonas paucimobilis : an uncommon cause of meningitis", J Pediatr Inf, 11, pp.e124~e128 (2017)
- Mehmood H, "A rare case of Sphingomonas paucimobilis meningitis in the absence of cerebrospinal fluid pleocytosis", J Investig Med High Impact Case Rep, 6, pp.2324709618756424~ (2018)
- Ciftci N, "Meningitis due to Sphingomonas paucimobilis in a pediatric patient : a case report", Acta Microbiol Bulg, 34, pp.126~129 (2018)
- Orozco-Hernández JP, "Sphingomonas paucimobilis meningitis in a child : first case report", EC Neurol, 11, pp.127~129 (2019)
- Quagliarello VJ, "Treatment of bacterial meningitis", N Engl J Med, 336, pp.708~716 (1997)
- van de Beek D, "Clinical features and prognostic factors in adults with bacterial meningitis", N Engl J Med, 351, pp.1849~1859 (2004)
- Goulet V, "Incidence of listeriosis and related mortality among groups at risk of acquiring listeriosis", Clin Infect Dis, 54, pp.652~660 (2012)
- Xu S, "Adverse events of acupuncture : a systematic review of case reports", Evid Based Complement Alternat Med, 2013, pp.581203~ (2013)
- Chang WN, "Mixed infection in adult bacterial meningitis", Infection, 28, pp.8~12 (2000)