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CASE REPORT
Year : 2018  |  Volume : 7  |  Issue : 3  |  Page : 213-215

Elizabethkingia meningoseptica: An emerging pathogen causing neonatal meningitis


1 Consultant Microbiologist, Department of Microbiology, Vijaya Diagnostic Centre, Visakhapatnam, Andhra Pradesh, India
2 Consultant Pathologist, Department of Pathology, Omni RK Hospital, Visakhapatnam, Andhra Pradesh, India
3 Consultant Neonatologist, Department of Paediatrics, Omni RK Hospital, Visakhapatnam, Andhra Pradesh, India
4 Senior Resident, Department of Microbiology, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Dr. Nitin Mohan
Gandhinagar First Line, Berhampur - 760 001, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.241278

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Cerebrospinal fluid from a near-term second twin female baby with a history of seizures and respiratory distress requiring ventilator support was sent to our laboratory for culture. Light yellow colored colonies of 1-2 mm diameter of Gram-negative bacilli on chocolate and blood agar with no growth on MacConkey agar seen. The bacterium was multidrug resistant. Based upon the growth characteristics, bio-chemical reactions, drug susceptibility pattern and identification by Vitek 2 system (BioMerieux, France) the isolate was identified as Elizabethkingia meningoseptica. Treatment was started with cefoperazone-sulbactam. Baby subsequently developed hydrocephalus and required the insertion of a ventriculo-peritoneal shunt. Baby slowly improved and was discharged. The presence in the hospital environment along with multidrug resistance makes E. meningoseptica a successful emerging nosocomial pathogen.


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