Meningitis Caused by the Rare Bacterium Elizabethkingia meningoseptica, in Only One Twin, Late Preterm Newborn, with Complications-Case Report

Abstract

Introduction: Elizabethkingia meningoseptica (EM) is a gram-negative aerobic organism that can cause severe infections. Although the incidence is higher in developing countries, human infections associated with this organism are seldom described in Serbia. This bacterium is usually resistant to most antibiotics, making the treatment challenging. We present a single twin born as a late-preterm newborn who developed sepsis and meningitis caused by EM. Case Presentation: This case report aims to show that this rare bacterium is present in our country and the clinical presentation of the resulting disease and bacterial resistance to antibiotics. In addition, we assessed if a more thorough diagnosis, including the immunological status of the newborn, is needed. Conclusions: Considering the high mortality and morbidity rates of EM and its multiresistance, early identification of the infection cause and determining the patient’s immunological status are vital for treatment and improved patient outcomes.