Bacillus cereus meningitis complicating cerebrospinal fluid fistula repair and spinal drainage.
Non-anthrax Bacillus species are rare, but serious causes of bacterial meningitis in those either immunocompromised or treated with CSF diversion. Although resistant to first-line antibiotics, they usually respond to chloramphenicol. We report a case of fulminant Bacillus cereus meningitis that complicated lumbar spinal drainage which proved resistant to all first-line antibiotics including chloramphenicol.
Marshman
L A
LA
Hurstwood Park Neurological Centre, Princess Royal Hospital, West Sussex, UK. l.a.g.marshman@btinternet.com
Hardwidge
C
C
Donaldson
P M
PM
D000328:Adult; D016863:Bacillaceae Infections / Q000209:etiology*; D001409:Bacillus cereus; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D004322:Drainage / Q000009:adverse effects; D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000209:etiology*; D011183:Postoperative Complications