title: EnterobacterMeningitis and Challenges in Treatment.
abstract: Neurosurgical interventions are rarely associated with meningitis with a very low incidence rate ranging from 1.1% to 2.5%. Gram negative bacillary meningitis first described in the 1940's, previously uncommon has been increasing in the recent past associated with advanced age, immunosuppression and neurosurgery.Enterobactermeningitis though relatively uncommon is recently increasing in incidence and treatment is frequently complicated due to resistance to antibiotics making this a challenging, difficult to treat infection that may be associated with adverse clinical outcomes. Here, we describe a case of a 27-year-old patient diagnosed with brain sarcoma at the age of four years, who presented withEnterobactermeningitis following a neurosurgical intervention for resection of a recurrent brain tumor (meningioma on pathology) and had a prolonged hospital stay with a difficult to treat infection.
authors.affiliation: Resident Physician, Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School, Saint Peter's University Hospital , New Jersey, USA .
authors.forename: Shaylika
authors.initials: S
authors.lastname: Chauhan
authors.affiliation: Research Assistant, Department of Pulmonology, New York Methodist , USA .
authors.forename: Jawad
authors.initials: J
authors.lastname: Noor
authors.affiliation: Attending Physician, Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School, Saint Peter's University Hospital , New Jersey, USA .
authors.forename: Balaji
authors.initials: B
authors.lastname: Yegneswaran
authors.affiliation: Epidemiology-Biostatistics, City University of New York , USA .
authors.forename: Hanish
authors.initials: H
authors.lastname: Kodali
keywords: Bi-frontal craniotomies; Immunosuppression; Neurosurgical interventions