Meningitis due to Xanthomonas maltophilia.
During 1st week of post-operative period, a 28 year old female patient operated for left cerebellopontine angle tumor, continued to get fever. Lumbar puncture did not reveal any organisms. She responded to ciprofloxacin. Two months later, she was readmitted with signs and symptoms of meningitis. The CSF tapped on lumbar puncture grew Xanthomonas maltophilia, Gram negative bacilli, sensitive to various antibiotics, ciprofloxacin being one of them. The patient was given ciprofloxacin for 3 weeks. On follow up, a year later she was found to be asymptomatic.
Girijaratnakumari
T
T
Dept of Microbiology, Kasturba Medical College, Manipal, Karnataka.
Raja
A
A
Ramani
R
R
Antony
B
B
Shivananda
P G
PG
D000328:Adult; D002528:Cerebellar Neoplasms / Q000601:surgery*; D002530:Cerebellopontine Angle; D002939:Ciprofloxacin / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D008826:Microbial Sensitivity Tests; D012008:Recurrence; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology*; D014974:Xanthomonas / Q000187:drug effects / Q000302:isolation & purification
D002939:Ciprofloxacin