Meningitis due to Roseomonas in an immunocompetent adolescent

Rabbia S. Waris; Melissa Ballard; David Hong; Talal B. Seddik

doi:10.1099/acmi.0.000213

Volume 3, Issue 3

Case Report

Open Access

Meningitis due to Roseomonas in an immunocompetent adolescent

Rabbia S. Waris¹, Melissa Ballard², David Hong³ and Talal B. Seddik⁴
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Affiliations: ¹ Pediatric Hospital Medicine, Stanford University, Stanford, CA, USA ² Pediatric Neurosurgery, Lucile Packard Children’s Hospital, Stanford, CA, USA ³ Pediatric Neurosurgery, Stanford University, Stanford, CA, USA ⁴ Pediatric Infectious Diseases, Stanford University, Stanford, CA, USA
*Correspondence: Rabbia S. Waris, [email protected]
Published: 10 March 2021 https://doi.org/10.1099/acmi.0.000213

Abstract

Both bacterial and aseptic meningitis can complicate neurosurgery, but they are often difficult to distinguish clinically or by cerebrospinal fluid (CSF) analysis. We present an adolescent with subacute meningitis after neurosurgery, eventually diagnosed with meningitis caused by Roseomonas mucosa via 16S rRNA gene sequencing after two negative CSF cultures. He was treated successfully with intravenous meropenem with full recovery. This case shows that distinguishing bacterial from aseptic meningitis is important to allow directed antibiotic therapy. We recommend considering bacterial meningitis in the differential diagnosis of aseptic meningitis complicating neurosurgery, and to perform molecular diagnostics such as bacterial sequencing if the suspicion of bacterial meningitis is high.

Received: 30/07/2020
Accepted: 21/02/2021
Published Online: 10/03/2021

Keyword(s): 16S rRNA sequencing , Aseptic meningitis , Chemical meningitis , Meningitis , Neurosurgery and Roseomonas

This is an open-access article distributed under the terms of the Creative Commons Attribution License. The Microbiology Society waived the open access fees for this article.

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Meningitis due to Roseomonas in an immunocompetent adolescent

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Volume 3, Issue 3

Case Report

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Meningitis due to Roseomonas in an immunocompetent adolescent

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