Asian Journal of Case Reports in Medicine and Health

Pseudomonas Aeruginosa Meningitis: A Case Report

Eunice Susan Thomson *

Department of Internal Medicine, Amrita Institute of Medical Sciences and Research Center, Kochi, Kerala, India.

Akash Thomas Oommen

Department of Internal Medicine, Amrita Institute of Medical Sciences and Research Center, Kochi, Kerala, India.

Sankar TM

Department of Internal Medicine, Amrita Institute of Medical Sciences and Research Center, Kochi, Kerala, India.

*Author to whom correspondence should be addressed.

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Abstract

Aim: To present a case of Pseudomonas meningitis with an atypical presentation.

Case Presentation: A 48 year old male with history of RTA related brain injury and shunt placement, presented with complaints of diarrhoea. On further investigations he was found to have Gram negative meningitis on CSF studies. This case highlights patient’s course in hospital.

Conclusion: Patients with a prior history of neurosurgical intervention are at higher risk of meningitis due to Gram negative organisms like Pseudomonas aeruginosa and they may present with atypical symptoms.

Keywords: Chronic diarrhea, meningitis, gram negative bacilli, pseudomonas aeruginosa, ventriculo-peritoneal shunt, craniectomy, candidemia

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