Nosocomial Leuconostoc Pseudomesenteroides Meningitis: A Case Report and Review of the Literature

Year 2011, Volume: 2011 Issue: 2, 216 - 218, 01.02.2011

Özlem Taşkapılıoğlu Aslı Bahar Emel Yılmaz Mustafa Bakar

https://doi.org/10.5174/tutfd.2009.02362.4

Abstract

Leuconostoc spp, a member of the Streptococci family, was found to cause infection in humans in 1985. These infections have been reported in patients who had received vancomycin to treat their underlying diseases. Nosocomial meningitis caused by Leuconostoc spp. was diagnosed in our patient. An extraventricular drainage system catheter was used due to the presence of a thalamic hematoma with ventricular extension. Central nervous system infections due to Leuconostoc spp. are rare. To our knowledge, our case is the sixth case worldwide and the second case reported from Turkey. This case is reported here to draw attention to a rare infectious agent with a high mortality risk.

Keywords

Chloramphenicol, leuconostoc, meningitis, nosocomial

Nosocomial Leuconostoc Pseudomesenteroides Meningitis: A Case Report and Review of the Literature

Abstract

References

• Dhodapkar Km, Henry Nk. Leuconostoc Bacteremia In An Infant With Short-Gut Syndrome: Case Report And Literature Review. Mayo Clin Proc 1996;71:1171-4. [CrossRef]
• Taneja N, Rani P, Emmanuel R, Khudaier By, Sharma Sk, Tewari R, Sharma M. Nosocomial Urinary Tract Infection Due To Leuco- nostoc Mesenteroides At A Tertiary Care Centre In North India. Indian J Med Res 2005;122:178-9. [CrossRef]
• Albanese A, Spanu T, Sali M, Novegno F, D’inzeo T, Santan- gelo R, Mangiola A, Anile C, Fadda G. Molecular IdentiŞ cation of Leuconostoc Mesenteroides As A Cause Of Brain Ab- scess In An Immunocompromised Patient. J Clin Microbiol 2006;44:3044-5. [CrossRef]
• CLSI. 2008. Methods For Dilution Antimicrobial Susceptibility Test For Bacteria That Grow Aerobically; Approved Standard, Eighth Ed. M07-A8. Clsi, Wayne, Pa.
• Wenocur Hs, Smith Ma, Vellozzi Em, Shapiro J, Isenberg Hd. Odontogenic Infection Secondary To Leuconostoc Species. J Clin Microbiol 1988;26:1893-4.
• Coovadia Ym, Solwa Z, Van Den Ende J. Meningitis Caused By Vancomycin-Resistant Leuconostoc Sp. J Clin Microbiol 1987;25:1784-5.
• Friedland Ir, Snipelisky M, Khoosal M. Meningitis In A Neonate Caused By Leuconostoc Sp. J Clin Microbiol 1990;28:2125-6.
• Deye G, Lewis J, Patterson J, Jorgensen J. A Case Of Leuco- nostoc Ventriculitis With Resistance To Carbapenem Antibiot- ics. Clin Infect Dis 2003;37:869-70.
• Hatipoğlu Ca, Yildiz E, Köktekir E, Ipekkan K, Karakoç Ea, Demiröz Ap. A Case Of Vancomycin Resistant Leuconostoc Meningitis. Mikrobiyol Bul 2008;42:695-9.
• Muttaiyah S, Ritchie S, Upton A, Roberts S. Clinical Parameters Do Not Predict Infection In Patients With External Ventricular Drains: A Retrospective Observational Study Of Daily Cerebro- spinal Fluid Analysis. J Clin Microbiol 2008;57:207-9. [CrossRef]