1887

Abstract

is an extremely rare pathogen responsible for ventriculoperitoneal shunt infection and meningitis. This young female patient with history of multiple shunt revisions in the past, came to us with shunt dysfunction and exposure of the ventriculoperitoneal shunt tube in the neck. The abdominal end of the shunt tube was seen migrating into the bowel during shunt revision. The cerebrospinal fluid analysis showed evidence of growth. This is the first reported case of meningitis associated with ventriculoperitoneal shunt migration into the bowel.

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

Article metrics loading...

/content/journal/acmi/10.1099/acmi.0.000266
2021-10-07
2024-12-03
Loading full text...

Full text loading...

/deliver/fulltext/acmi/3/10/acmi000266.html?itemId=/content/journal/acmi/10.1099/acmi.0.000266&mimeType=html&fmt=ahah

References

  1. Huang C-R, Chen S-F, Tsai N-W, Chang C-C, Lu C-H et al. Clinical characteristics of Stenotrophomonas maltophilia meningitis in adults: A high incidence in patients with a postneurosurgical state, long hospital staying and antibiotic use. Clin Neurol Neurosurg 2013; 115:1709–1715 [View Article] [PubMed]
    [Google Scholar]
  2. Adegoke AA, Stenström TA, Okoh AI. Stenotrophomonas maltophilia as an emerging ubiquitous pathogen: Looking beyond contemporary antibiotic therapy. Front Microbiol 2017; 8:2276 [View Article] [PubMed]
    [Google Scholar]
  3. Ibrahim J, Hamwi N, Rabei H, Abdelghafar M, Al-Dulaimi Z et al. Stenotrophomonas maltophilia meningitis in a term healthy neonate: a case report and literature review. Case Rep Pediatr 20181–3
    [Google Scholar]
  4. Sood S, Vaid VK, Bhartiya H. Meningitis due to Stenotrophomonas maltophilia after a neurosurgical procedure. J Clin Diagn Res 2013; 7:1696–1697 [View Article] [PubMed]
    [Google Scholar]
  5. Khanum I, Ilyas A, Ali F. Stenotrophomonas maltophilia meningitis - a case series and review of the literature. Cureus 2020; 12:e11221 [View Article] [PubMed]
    [Google Scholar]
  6. Díaz-Maroto R, Pérez Menéndez-Conde C, Morosini Reilly MI, Bermejo Vicedo T. Treatment of Stenotrophomonas maltophilia meningoencephalitis with intraventricular colistin. Farm Hosp 2014; 38:252–253 [View Article] [PubMed]
    [Google Scholar]
  7. Correia CR, Ferreira ST, Nunes P. Stenotrophomonas maltophilia: rare cause of meningitis. Pediatr Int 2014; 56:e21–22 [View Article] [PubMed]
    [Google Scholar]
  8. Mukherjee S, Zebian B, Chandler C, Pettorini B. Stenotrophomonas maltophilia CSF infection in infants after neurosurgery. Br J Hosp Med (Lond) 2017; 78:724–725 [View Article] [PubMed]
    [Google Scholar]
  9. Gregory ER, Osborne SB, Gardner BM, Broughton RA. Trimethoprim/sulfamethoxazole and moxifloxacin therapy for a pediatric Stenotrophomonas maltophilia ventriculoperitoneal shunt infection. J Pediatr Pharmacol Ther 2019; 24:61–65 [View Article] [PubMed]
    [Google Scholar]
  10. Brooke JS. Stenotrophomonas maltophilia: an emerging global opportunistic pathogen. Clin Microbiol Rev 2012; 25:2–41 [View Article] [PubMed]
    [Google Scholar]
  11. Denton M, Kerr KG. Microbiological and clinical aspects of infection associated with Stenotrophomonas maltophilia. Clin Microbiol Rev 1998; 11:57–80 [View Article] [PubMed]
    [Google Scholar]
  12. Weber DJ, Rutala WA, Blanchet CN, Jordan M, Gergen MF. Faucet aerators: A source of patient colonization with Stenotrophomonas maltophilia. Am J Infect Control 1999; 27:59–63 [View Article] [PubMed]
    [Google Scholar]
  13. Chung H-S, Hong SG, Kim YR, Shin KS, Whang DH. Antimicrobial susceptibility of stenotrophomonas maltophilia isolates from Korea, and the activity of antimicrobial combinations against the isolates. J Korean Med Sci 2013; 28:62–66 [View Article] [PubMed]
    [Google Scholar]
  14. de Chazal HM, del Buono MG, Keyser-Marcus L, Ma L, Moeller FG. Stress cardiomyopathy diagnosis and treatment. J Am Coll Cardiol 2018; 72:1955–1971 [View Article]
    [Google Scholar]
/content/journal/acmi/10.1099/acmi.0.000266
Loading
/content/journal/acmi/10.1099/acmi.0.000266
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error