Postsurgical Pantoea calida meningitis: a case report

J Med Case Rep. 2014 Jun 16:8:195. doi: 10.1186/1752-1947-8-195.

Abstract

Introduction: Pantoea calida, a recently described environmental Enterobacteriaceae organism, has not yet been associated with human infection.

Case presentation: We report a case of postoperative meningitis caused by P. calida. After pituitary adenoma resection, a 52-year-old Caucasian woman developed febrile meningitis confirmed by cerebrospinal fluid analysis. P. calida was grown in pure culture from this fluid and was firmly identified with partial rpoB gene sequencing. She was cured by a 14-day course of meropenem.

Conclusions: P. calida must be added to the list of opportunistic Enterobacteriaceae pathogens responsible for postsurgical meningitis. It is easily identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoma / surgery
  • Anti-Bacterial Agents / therapeutic use
  • Cross Infection / drug therapy
  • Cross Infection / etiology
  • Cross Infection / microbiology*
  • Enterobacteriaceae Infections / drug therapy
  • Enterobacteriaceae Infections / etiology
  • Enterobacteriaceae Infections / microbiology*
  • Enterobacteriaceae*
  • Female
  • Humans
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / etiology
  • Meningitis, Bacterial / microbiology*
  • Meropenem
  • Middle Aged
  • Pituitary Neoplasms / surgery
  • Thienamycins / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Thienamycins
  • Meropenem