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Reminder of important clinical lesson
CASE REPORT
Community-acquired Pseudomonas aeruginosa meningitis
  1. Charles Gallaher1,
  2. James Norman2,
  3. Abhinav Singh3,
  4. Frances Sanderson4
  1. 1Emergency Department, Chelsea and Westminster Hospital, London, UK
  2. 2Infectious Diseases, Chelsea and Westminster Hospital, London, UK
  3. 3Department of Radiology, Charing Cross Hospital, London, UK
  4. 4Infectious Diseases, Charing Cross Hospital, London, UK
  1. Correspondence to Dr Charles Gallaher, charlesgallaher{at}doctors.org.uk

Summary

Gram-negative bacilli such as Pseudomonas aeruginosa are a rare cause of meningitis. Patients developing P. aeruginosa meningitis most commonly have a history of neurosurgical procedures. We report a patient who presented with community-acquired chronic meningitis secondary to P. aeruginosa, related to surgery for otosclerosis 5 years previously.

  • infections
  • ear, nose and throat/otolaryngology
  • meningitis
  • infection (neurology)
  • therapeutic indications

https://doi.org/10.1136/bcr-2017-221839

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    Footnotes

    • Contributors CG reviewed the patient’s notes, collated data, conducted a literature review, consulted with relevant experts and drafted the article. JN helped with the conception of the project, collation and analysis of the data, literature review, and redrafting of the article. AS reviewed all the patient’s imaging. He helped interpret the imaging for the purposes of the case report. He helped select appropriate imaging slices for use in the case report, and advised on differential diagnosis of imaging findings where appropriate. FS was the consultant in charge of the patient. She was responsible for redrafting the case report.

    • Competing interests None declared.

    • Patient consent Obtained.

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