Infection of Central Nervous System by MotileEnterococcus: First Case Report

Autor: Kurup, Asok, Tee, Wen Sim Nancy, Loo, Liat Hui, Lin, Raymond
Zdroj: Journal of Clinical Microbiology; February 2001, Vol. 39 Issue: 2 p820-822, 3p
Abstrakt: ABSTRACTA 66-year-old man with four indwelling ventriculoperitoneal shunts for multiloculated hydrocephalus from a complicated case of meningitis a year before developed shunt infection based on a syndrome of fever, drowsiness, and cerebrospinal fluid neutrophil pleocytosis in the background of repeated surgical manipulation to relieve successive shunt blockages. The cerebrospinal fluid culture, which yielded a motile Enterococcusspecies, was believed to originate from the gut. This isolate was lost in storage and could not be characterized further. The patient improved with vancomycin and high-dose ampicillin therapy. He relapsed a month later withEnterococcus gallinarumshunt infection, which responded to high-dose ampicillin and gentamicin therapy. This is probably the first case report of motile Enterococcusinfection of the central nervous system.
Databáze: Supplemental Index