A Rare Case of Meningitis: Can Cellulosimicrobium cellulans Cause Meningitis in a Non-immunocompromised Person?
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Authors
Narayan, Prajna
Duble, Shishir
Shetty, Anup
Sekhar, Mithun
Shetty, Rajesh
Govindarajan, Sathish Kumar
Issue Date
2024-10-25
Type
Case Reports
Journal Article
Journal Article
Language
en
Keywords
afebrile , altered sensorium , atypical bacterial meningitis , cerebrospinal fluid (csf) , leptomeningeal enhancement , photophobia
Alternative Title
Abstract
Infections with Gram-positive soil-dwelling bacterium are sporadic. Rarely, do patients with indwelling medical devices or those who suffer from immunosuppression get infected by this pathogen. However, based on routine clinical and laboratory procedures, it is hard to distinguish between the meningitis caused by and that from other bacteria. Here, we report a unique case of infection in a 37-year-old immunocompetent man presenting with meningitis associated with encephalopathy and headache. He presented with severe headaches, altered sensorium, reduced sleep, photophobia, and restlessness, with a feeling of impending doom, but with no neck rigidity and fever. Trans-axial T1 and T2/FLAIR head MRI showed diffused cerebral edema, with bilateral high frontoparietal sulcal enhancement, hyperintensity along the right posterior insula-temporal region, and left parietal deep white matter. Lumbar puncture CSF examination indicated bacterial meningitis, and was identified on culture. The patient was administered intravenous ceftriaxone for seven days and dexamethasone for three days. A follow-up lumbar puncture CSF examination showed no signs of the pathogen, indicating its eradication. To our knowledge, this is the first case of causing meningitis in an otherwise healthy man with no history of indwelling medical devices or immunosuppression. This rare case of meningitis suggests that can infect healthy humans and cause meningitis.
Description
© Copyright 2024 Narayan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Citation
Narayan, P.; Duble, S.; Shetty, A.; Sekhar, M.; Shetty, R. and Govindarajan, SK. (2024) 'A Rare Case of Meningitis: Can Cellulosimicrobium cellulans Cause Meningitis in a Non-immunocompromised Person?', Cureus. 16(10) e72355. Available at: https://doi.org/10.7759/cureus.72355
Publisher
Springer Nature
License
Copyright © 2024, Narayan et al.
Journal
Cureus
Volume
16
Issue
10
PubMed ID
ISSN
2168-8184