J Yeungnam Med Sci.  2022 Jan;39(1):67-71. 10.12701/yujm.2021.01074.

Coinfection of Sphingomonas paucimobilis meningitis and Listeria monocytogenes bacteremia in an immunocompetent patient: a case report

• Bae SW
• Lee JH

• KMID: 2525031
• DOI: http://doi.org/10.12701/yujm.2021.01074

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.

Keyword

Bacteremia; Coinfection; Meningitis

Figure

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  Fig. 1. Computed tomography images of the brain. (A) On hospitalization day (HD) 1, without enlarged ventricles; (B) on HD 3, with the enlarged ventricle; (C) on HD 10, with the enlarged left ventricle and emergency external ventricular drainage, inserted at right Kocher's point; (D) on HD 32, with the enlarged ventricle and emergency external ventricular drainage, inserted at left Kocher's point; (E) on HD 45, with a normal ventricle size and ventriculoperitoneal (VP) shunt inserted at left Kocher’s point; and (F) 4 months after discharge, with normal-sized ventricles and VP shunt.

Reference

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