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First report of postoperative intracranial Weeksella virosa infection

  • Case Report - Brain Tumors
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Abstract

A 49-year-old female underwent multiple craniotomies for resection of recurrent malignant meningiomata (WHO grade III). She re-presented with sepsis due to a ventricular empyema. The craniotomy wound was urgently debrided, and isolates of the gram-negative rod, Weeksella virosa, were identified on 16S PCR. This species is most commonly found as a genitourinary commensal. We present the first documented intracranial infection by Weeksella virosa and its successful treatment with oral β-lactam antibiotics.

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References

  1. Boixeda D, de Luis DA, Meseguer MA, Aller R, Martin de Argila C, Lopez Sanroman A (1998) A case of spontaneous peritonitis caused by Weeksella virosa. Eur J Gastroenterol Hepatol 10(10):897–898

    Article  CAS  PubMed  Google Scholar 

  2. Faber MD, del Busto R, Cruz C, Mezger E (1991) Response of Weeksella virosa peritonitis to imipenem/cilastin. Adv Perit Dial 7:133–134

    CAS  PubMed  Google Scholar 

  3. Holmes B, Steigerwalt A, Weaver R, Brenner D (1986) Weeksella virosa gen. nov, sp. nov. (formerly group IIF), found in human clinical specimens. Syst Appl Microbiol 8:185–190

    Article  Google Scholar 

  4. King EO (1959) Studies on a group of previously unclassified bacteria associated with meningitis in infants. Am J Clin Pathol 31(3):241–247

    Article  CAS  PubMed  Google Scholar 

  5. Manoragan M, Marnejon T, Sarac E (2004) Pneumonia and sepsis due to Weeksella virosa in an Immunocompromised patient. Infect Dis Clin Pract 12(5):286–287

    Article  Google Scholar 

  6. Meharwal TN, Sharma S, Sharma M (2002) Complicated nosocomial UTI caused by nonfermenters. Indian J Urol 18(2):123

    Google Scholar 

  7. Pickett MJ, Manclark CR (1970) Nonfermentative bacilli associated with man. I Nomenclature. Am J Clin Pathol 54(2):155–163

    Article  CAS  PubMed  Google Scholar 

  8. Price K, Pickett M (1981) Studies of clinical isolates of flavobacteria. In: Reichenbach H, Weeks O (eds) Flavobacterium-Cytophaga Gr. Verlag Chemie, Weinheim, pp 63–77

    Google Scholar 

  9. Reina J, Gil J, Salva F, Gomez J, Alomar P (1990) Microbiological characteristics of Weeksella virosa (formerly CDC group IIf) isolated from the human genitourinary tract. J Clin Microbiol 28(10):2357–2359

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Slenker AK, Hess BD, Jungkind DL, DeSimone JA (2012) Fatal case of Weeksella virosa sepsis. J Clin Microbiol 50(12):4166–4167

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Smyth ETM, McIlvenny G, Enstone JE, Emmerson AM, Humphreys H, Fitzpatrick F, Davies E, Newcombe RG, Spencer RC, Hospital Infection Society Prevalence Survey Steering Group (2008) Four country healthcare associated infection prevalence survey 2006: overview of the results. J Hosp Infect 69(3):230–248

    Article  CAS  PubMed  Google Scholar 

  12. Vandepitte J, Beekman C, Buttiaux R (1958) Quatre cases de meningites a Flavobacterium chez des nouveaux-nes. Ann Soc Belge Med Trop 38:563

    CAS  PubMed  Google Scholar 

  13. Von Graevenitz A (1981) Clinical significance and antimicrobial susceptibility of Flavobacteria. In: Reichenbach H, Weeks O (eds) Flavobacterium-Cytophaga Gr. Verlag Chemie, Weinheim, pp 153–164

    Google Scholar 

  14. Williamson RA, Phillips-Bute BG, McDonagh DL, Gray MC, Zomorodi AR, Olson DM, Britz GW, Laskowitz DT, James ML (2014) Predictors of extraventricular drain–associated bacterial ventriculitis. J Crit Care 29(1):77–82

    Article  PubMed  Google Scholar 

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Correspondence to Sebastian M. Toescu.

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Toescu, S.M., Lacey, S. & Low, H.L. First report of postoperative intracranial Weeksella virosa infection. Acta Neurochir 159, 2235–2238 (2017). https://doi.org/10.1007/s00701-017-3307-9

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  • DOI: https://doi.org/10.1007/s00701-017-3307-9

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