BMJ Case Reports 2017; doi:10.1136/bcr-2017-221076
  • Rare disease

Elizabethkingia meningoseptica: emerging multidrug resistance in a nosocomial pathogen

  1. B A Shastry
  1. Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India
  1. Correspondence to Sairam Raghavan, sairam.raghavan{at}
  • Accepted 28 September 2017
  • Published 10 October 2017


A 46-year-old male patient presented with complaints of burning micturition for 2 days. Initial history, physical examination and laboratory investigations were consistent with the diagnosis of congestive cardiac failure (CCF) and concomitant urinary tract infection. CCF was treated with diuretics and a urine culture/sensitivity (C/S) was sent which returned growing Elizabethkingia meningoseptica resistant to all tested drugs. Intravenous cefotaxime which had been started empirically 3 days earlier was withheld at this point, and a repeat urine C/S was sent revealing resistance to all tested drugs (including reserved drugs) barring minocycline. The patient was treated with oral minocycline for 14 days after which he was symptomatically better with sterile urine. The patient was subsequently discharged.


  • Contributors SR: primary author. BT: guide. SBA: guide.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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