A Case of Coccidioidal Meningitis With Biofilm Obstructing VP Shunt Due to <i>Cutibacterium acnes</i>-Reference-Cited by-同舟云学术

A Case of Coccidioidal Meningitis With Biofilm Obstructing VP Shunt Due to Cutibacterium acnes

Published:2023-01 Issue: Volume:11 Page:232470962311598
ISSN:2324-7096
Container-title:Journal of Investigative Medicine High Impact Case Reports
language:en
Short-container-title:Journal of Investigative Medicine High Impact Case Reports

Author:

Sharma Rupam¹²^ORCID,Johnson Royce H.¹²,David Gerard R.³,Rahimifar Majid⁴,Heidari Arash¹²^ORCID

Affiliation:

1. Kern Medical, Bakersfield, CA, USA

2. University of California, Los Angeles, USA

3. Kaiser Permanente, Bakersfield, CA, USA

4. Bakersfield Memorial Hospital, CA, USA

Abstract

Herein described is a case of biofilm obstructing ventriculoperitoneal shunt due to Cutibacteirum acnes infection in a patient with coccidioidal meningitis. Cutibacterium acnes infects and obstructs cerebral shunts by the production of biofilm; however, diagnosis is usually missed by routine aerobic cultures. Obtaining anaerobic cultures routinely in patients with foreign body implants leading to central nervous system infections could prevent a missed diagnosis of this pathogen. Penicillin G is the first-line treatment.

Publisher

SAGE Publications

Subject

Safety Research,Safety, Risk, Reliability and Quality,Epidemiology

Link

http://journals.sagepub.com/doi/pdf/10.1177/23247096231159810

Reference14 articles.

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2. 2016 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for the Treatment of Coccidioidomycosis

3. Ventricular shunt infections: Immunopathogenesis and clinical management

4. Wang KW, Chang WN, Shih TY, et al. Infection of cerebrospinal fluid shunts: causative pathogens, clinical features, and outcomes. Jpn J Infect Dis. 2004;57(2):44-48. Accessed February 24, 2023. http://www.ncbi.nlm.nih.gov/pubmed/15118207

5. Bacteria causing ventriculoperitoneal shunt infections in a Kenyan population

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