Meningitis caused by Abiotrophia defectiva: case report and literature review.

Tena, D; Solís, S; Lainez, S; Torralba, M; Chacón, P; Valdezate, S; Sáez-Nieto, J A; Bisquert, J

Tena, D; Solís, S; Lainez, S; Torralba, M; Chacón, P; Valdezate, S; Sáez-Nieto, J A; Bisquert, J.

Affiliation

Tena D; Sección de Microbiología, Hospital Universitario de Guadalajara, C/. Donantes de sangre s/n., 19002, Guadalajara, Spain. danielt@sescam.jccm.es

Infection ; 41(2): 571-4, 2013 Apr.

Article in En | MEDLINE | ID: mdl-22915347

ABSTRACT

The genus Abiotrophia comprises fastidious Gram-positive bacteria previously classified as nutritionally variant streptococci (NVS). The isolation of NVS from the central nervous system (CNS) is very rare. We describe a case of meningitis due to Abiotrophia defectiva in a patient who underwent a total hip arthroplasty 4 days previously. It is possible that the organism could be introduced through the spinal anesthesia. We also review all cases of CNS infections caused by NVS.

Subject(s)

Abiotrophia/isolation & purification; Gram-Positive Bacterial Infections/diagnosis; Meningitis, Bacterial/diagnosis; Abiotrophia/drug effects; Ampicillin/therapeutic use; Anesthesia; Anti-Bacterial Agents/therapeutic use; Arthroplasty, Replacement, Hip; Gram-Positive Bacterial Infections/drug therapy; Gram-Positive Bacterial Infections/microbiology; Humans; Male; Meningitis, Bacterial/microbiology; Microbial Sensitivity Tests; Middle Aged; Penicillins/therapeutic use; Vancomycin/therapeutic use

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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Meningitis, Bacterial / Gram-Positive Bacterial Infections / Abiotrophia Limits: Humans / Male / Middle aged Language: En Journal: Infection Year: 2013 Type: Article Affiliation country: Spain

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