Meningitis caused by Alcaligenes xylosoxidans in a patient with HIV/AIDS

AUTOR(ES)

Espinoza-Gómez, F., Newton-Sánchez, O.A., Melnikov, V., Virgen-González, O., Unrau, J.

FONTE

Brazilian Journal of Infectious Diseases

DATA DE PUBLICAÇÃO

2007-12

RESUMO

The purpose of the present work was to inform about the first case of meningitis associated to the bacteria Alcaligenes xylosoxidans in a patient with HIV/AIDS. The patient was a 46-year-old male, with the antecedent of have been diagnosed for HIV/ AIDS, who attended in the Hospital Universitario de Colima, Mexico, with fever, shock and meningismus. The study of the cerebrospinal fluid showed pleocytosis, elevated protein levels and hypoglycorrhachia. The culture yielded the presence of Alcaligenes xylosoxidans with sensitivity to ciprofloxacin. After 14 days of treatment with this antibiotic, the patient showed neurologic improvement and was able to continue with his outpatient antiretroviral treatment. The present case shows the importance of the inclusion of this bacterium in the differential diagnosis of the neurological infections in HIV/AIDS patients and emphasizes the importance of considering the bacterial meningitis in this population.

Documentos Relacionados

• A vulnerabilidade da vida com HIV/AIDS
• Achromobacter xylosoxidans (Alcaligenes xylosoxidans subsp. xylosoxidans) meningitis associated with a gunshot wound.
• The experience of living with HIV/AIDS in old age
• Prevalence of hypoalbuminemia in outpatients with HIV/AIDS
• Treatment adherence: experiences of adolescents with HIV/AIDS