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.


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


How to Cite

Thomson, Eunice Susan, Akash Thomas Oommen, and Sankar TM. 2024. “Pseudomonas Aeruginosa Meningitis: A Case Report”. Asian Journal of Case Reports in Medicine and Health 7 (1):68-71. https://journalajcrmh.com/index.php/AJCRMH/article/view/189.


References

Gallaher C, Norman J, Singh A, Sanderson F. Community-acquired Pseudomonas aeruginosa meningitis. BMJ Case Rep. 2017;2017:bcr2017221839.

Ahmad F, Brubaker M, Rajendraprasad SS, Hoeynck B, Clyde BL, Velagapudi M. Challenges in the Management of Gram-Negative Bacterial Infections in Patients With Ventriculoperitoneal Shunt. Cureus. 2021;13(8):e17035.

Cotran-Lenrow A, Tefera LS, Douglas-Vail M, Ayebare A, Kpokpah LN, Davis BP. Community-Acquired Pseudomonas aeruginosa Meningitis in a Pediatric Patient. Cureus. 2023;15(7):e42376.

Zeinalizadeh M, Yazdani R, Feizabadi MM, Shadkam M, Seifi A, Dehghan Manshadi SA, Abdollahi A, Salehi M. Post-neurosurgical meningitis; gram negative bacilli vs. gram positive cocci. Caspian J Intern Med. 2022;13(3):469-474.

Charalampoudis P. Right Lower Quadrant Abdominal Pain in a Patient with Prior Ventriculoperitoneal Shunting: Consider the Tip! Case Reports in Medicine 2012;2012:1–2.

Rodríguez-Lucas C, Fernández J, Martínez-Sela M, Álvarez-Vega M, Moran N, Garcia A, et al. Pseudomonas aeruginosa nosocomial meningitis in neurosurgical patients with intraventricular catheters: Therapeutic approach and review of the literature. Enfermedades Infecciosas y Microbiologia Clinica (English Ed). 2020;38:54–8.

Poplin V, Boulware DR, Bahr NC. Methods for rapid diagnosis of meningitis etiology in adults. Biomarkers in Medicine 2020; 14:459–79.

Shi YJ, Zheng GH, Qian LY, Qsman RA, Li GG, Zhang GJ. Longitudinal Analysis of Risk Factors for Clinical Outcomes of Enterobacteriaceae Meningitis/Encephalitis in Post-Neurosurgical Patients: A Comparative Cohort Study During 2014-2019. Infect Drug Resist. 2020;13:2161-2170.

Megri Y, Arastehfar A, Boekhout T, Daneshnia F, Hörtnagl C, Sartori B, et al. Candida tropicalis is the most prevalent yeast species causing candidemia in Algeria: the urgent need for antifungal stewardship and infection control measures. Antimicrobial Resistance & Infection Control. 2020;9.