Enterococcus gallinarum meningitis: a case report and literature review

Abstract

We report a case of Enterococcus gallinarum meningitis in a 53-year-old female who was admitted to our hospital with a fever, headache, and consciousness disturbance one week after a life-saving craniotomy operation. There was obvious neck stiffness; lumber puncture was performed and cerebrospinal fluid parameters were consistent with bacterial meningitis. The patient was given ceftriaxone and vancomycin for bacterial meningitis. Cerebrospinal fluid culture yielded an isolate which was identified as Enterococcus gallinarum. The isolate was sensitive to ampicillin, ampicillin/clavulanate, linezolid, moxifloxacin and teicoplanin, but it showed intermediate sensitivity to vancomycin and quinoprism-dalfopristin. Intravenous linezolid, 600 mg every 12 hours, was started. Three days after starting treatment, the patient became afebrile; a repeat lumber puncture two week later showed no white blood cells in cerebrospinal fluid and no bacterial growth. Treatment with linezolid was continued for a total therapy duration of three weeks, after which the patient was discharged in a good condition.

Enzyme deactivation treatments did not decrease the beneficial role of oat food in intestinal microbiota and short‐chain fatty acids: an in vivo study

“…Although the normal strains of Enterococcus spp. are sensitive to antibiotics such as ampicillin and vancomycin, some Enterococcus strains are resistant to antibiotics . Results in the current study showed that each of the four oat groups demonstrated significantly lower ( P < 0.05) cecal or colonic Enterococcus spp.…”

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Fatal meningitis caused by vancomycin-resistant enterococci: Report of two cases from south India

“…[1,11,12] The fi rst case of VRE meningitis described here is a case of postoperative meningitis in a patient who underwent craniotomy for excision of an acoustic schwannoma and had a postoperative CSF leak. 30, No.…”

An Unusual Etiology of Post-traumatic Meningitis

“…Like clostridial meningitis, enterococcal meningitis is uncommonly documented in the literature. Most instances have occurred after neurosurgery 26 or as a complication of bacteremia in severely debilitated patients with neutropenia and cancer. 27 Few, if any, cases of traumatic implantation of an enterococcal species have been documented.…”