title: Rare Elizabethkingia meningosepticum meningitis case in an immunocompetent adult.
abstract: Though Elizabethkingia meningosepticum typically causes meningitis in neonates, its occurrence in adult is rare, with sixteen cases described worldwide. We report a case of E. meningosepticum meningitis in an immunocompetent adult. Bacterial identification was made a day earlier than conventional method by using matrix assisted laser desorption ionization time-of-flight (MALDI-TOF) Vitek mass spectrometry RUO (VMS), which resulted in successful treatment with rifampin, trimethoprim-sulfamethoxazole, levofloxacin and minocycline.
authors.affiliation: J. Willis Hurst Internal Medicine Residency Program, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Salim S
authors.initials: SS
authors.lastname: Hayek
authors.affiliation: J. Willis Hurst Internal Medicine Residency Program, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Thura T
authors.initials: TT
authors.lastname: Abd
authors.affiliation: Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Sushma K
authors.initials: SK
authors.lastname: Cribbs
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Albert M
authors.initials: AM
authors.lastname: Anderson
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Andre
authors.initials: A
authors.lastname: Melendez
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Miwako
authors.initials: M
authors.lastname: Kobayashi
authors.affiliation: Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA.
authors.forename: Carmen
authors.initials: C
authors.lastname: Polito
authors.affiliation: Department of Pathology and Laboratory Medicine, Emory University School of Medicine , Atlanta, GA 30303, USA ; Clinical Laboratory, Grady Memorial Hospital , Atlanta, GA 30303, USA.
authors.forename: Yun F
authors.initials: YF
authors.lastname: Wayne Wang
keywords: Elizabethkingia meningosepticum; MALDI-TOF mass spectrometry; Vitek; chryseobacterium; flavobacterium; meningitis