Meningitis and Bacteremia Due to Neisseria cinerea following a Percutaneous Rhizotomy of the Trigeminal Ganglion.
Neisseria cinerea is a human commensal. The first known case of meningitis and bacteremia due to Neisseria cinerea following percutaneous glycerol instillation of the trigeminal ganglion is reported. Conventional phenotypic methods and complete 16S RNA gene sequencing accurately identified the pathogen. Difficulties in differentiation from pathogenic neisseriae are discussed.
Department of Internal Medicine, Division of Infectious Diseases, Cantonal Hospital St. Gallen, St. Gallen, Switzerland matthias.vonkietzell@kssg.ch.
M
M
von Kietzell
Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
H
H
Richter
Center of Laboratory Medicine, Department of Bacteriology, Mycology and Parasitology, St. Gallen, Switzerland.
T
T
Bruderer
Clinical Microbiology, University Hospital, Basel, Switzerland.
D
D
Goldenberger
Service of Infectious Diseases, Geneva University Hospitals & Faculty of Medicine, University of Geneva, Geneva, Switzerland.
S
S
Emonet
Department of Internal Medicine, Division of Infectious Diseases, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
C
C
Strahm
D000900:Anti-Bacterial Agents / Q000494:pharmacology; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D016000:Cluster Analysis; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D006257:Head / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D008969:Molecular Sequence Data; D042804:Neisseria cinerea / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D016870:Neisseriaceae Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D010802:Phylogeny; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D019051:Rhizotomy / Q000009:adverse effects; D017422:Sequence Analysis, DNA; D014057:Tomography, X-Ray Computed; D014277:Trigeminal Neuralgia / Q000628:therapy
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S