Mehmood Hassan, Khan Noman, Ullah Saad, Ullah Asad, Marwat Asghar
Temple University/Conemaugh Memorial Medical Center, Johnstown, PA, USA.
J Investig Med High Impact Case Rep. 2018 Jan 31;6:2324709618756424. doi: 10.1177/2324709618756424. eCollection 2018 Jan-Dec.
is a nonfermentative gram-negative of low pathogenicity. The organism has been involved in causing a wide range of infections in community and hospital settings. Only 3 cases of meningitis caused by this organism have been reported so far. We report a rare case of meningitis who presented with atypical symptoms. A 50-year-old female presented with headache, dizziness, chills, shakiness, and neck pain along with nuchal rigidity. On physical examination, severe neck rigidity along with decreased range of motion was noticed. Her cerebrospinal fluid showed gram-negative rods, and she was started on meropenem. The cerebrospinal fluid grew sensitive to meropenem. She subsequently showed significant improvement and was discharged home on intravenous meropenem for 21 days and showed complete recovering in 5 weeks.
是一种低致病性的非发酵革兰氏阴性菌。该菌已在社区和医院环境中引发了广泛的感染。迄今为止，仅报告了3例由该菌引起的脑膜炎病例。我们报告了一例表现为非典型症状的罕见脑膜炎病例。一名50岁女性出现头痛、头晕、寒战、颤抖、颈部疼痛以及颈项强直。体格检查发现严重的颈项强直以及活动范围减小。她的脑脊液显示革兰氏阴性杆菌，遂开始使用美罗培南治疗。脑脊液培养出的菌株对美罗培南敏感。她随后病情显著改善，出院时接受了21天的静脉美罗培南治疗，并在5周内完全康复。
