Meningitis due to Xanthomonas maltophilia: case report and review

Clin Infect Dis. 1994 Aug;19(2):325-6. doi: 10.1093/clinids/19.2.325.

Abstract

Xanthomonas maltophilia is being increasingly recognized as an opportunistic pathogen in debilitated patients. We report a case of postoperative meningitis due to X. maltophilia and review the cases of X. maltophilia meningitis reported in the literature. Because X. maltophilia is often resistant to multiple beta-lactam agents, including cephalosporins and imipenem, trimethoprim-sulfamethoxazole appears to be the drug of choice for treatment of X. maltophilia meningitis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Cerebrospinal Fluid / microbiology
  • Gram-Negative Bacterial Infections / complications*
  • Gram-Negative Bacterial Infections / drug therapy
  • Humans
  • Hydrocephalus / surgery
  • Male
  • Meningeal Neoplasms / surgery
  • Meningioma / surgery
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / microbiology*
  • Middle Aged
  • Postoperative Complications / drug therapy
  • Postoperative Complications / microbiology*
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
  • Ventriculoperitoneal Shunt
  • Xanthomonas / growth & development
  • Xanthomonas / isolation & purification*

Substances

  • Trimethoprim, Sulfamethoxazole Drug Combination