Flavobacterium meningosepticum Meningitis: Report of Selected Aspects

Author:

Rios Israel1,Klimek Joseph J.1,Maderazo Eufronio1,Quintiliani Richard1

Affiliation:

1. Division of Infectious Disease, Department of Medicine, Hartford Hospital, Hartford, Connecticut 96115

Abstract

Two patients developed meningitis due to Flavobacterium meningosepticum . Because of resistance to most available antimicrobial agents, intravenous and intraventricular erythromycin was administered to one patient. Subsequent development of resistance to erythromycin prompted the use of intravenous and intraventricular rifamycin, which eventually resulted in cure. Diagnosis of F. meningosepticum meningitis in the second patient was delayed, and appropriate therapy was not administered until 4 days prior to the patient's death. Of 82 previously published cases, only 4 occurred in adults. Therapy of meningitis due to this organism has been a difficult problem, and we suggest possible modes of therapy, based on our experience and a review of the literature.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference22 articles.

1. Meningitis in a newborn due to Flavobacterium meningosepticum;Agarwal K. C.;Indian J. Med. Res.,1971

2. Late Flavobacterium species meningitis after craniofacial exenteration;Bagley D. H.;Arch. Intern. Med.,1976

3. Meningitis caused by an unclassified gram-negative bacterium in newborn infants;Brody J. A.;Am. J. Dis. Child.,1958

4. Epidemic meningitis of the newbom caused by Flavobacteria. I. Epidemiology and bacteriology;Cabrera H. A.;Am. J. Dis. Child.,1961

5. The incidence of meningitis in early infancy with a description of two cases due to unusual organisms;Cooke J. V.;Am. J. Dis. Child.,1922

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