A Unique Case of Moraxella catarrhalis Meningitis Following Neurosurgical Intervention

We present a rare case of Moraxella catarrhalis meningitis in a 51-year-old immunocompetent woman after surgical resection of a fourth ventricle ganglioma. Notably, the patient had no history of sinusitis or otitis media, which are typical predisposing factors for Moraxella infection. She developed...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5), p.e59689-e59689
Main Authors: Harb, Hussein, Al-Obaidi, Hasan, Irannejad, Kyvan, Bagheri, Farshad
Format: Article
Language:English
Subjects:
Adults
Antibiotics
Case reports
Cerebrospinal fluid
Chronic illnesses
Chronic obstructive pulmonary disease
Ear diseases
Electrolytes
Glucose
Headaches
Hospitals
Hydrocephalus
Infectious Disease
Infectious diseases
Internal Medicine
Intervention
Leukocytes
Medical diagnosis
Medical imaging
Meningitis
Neurosurgery
Paresis
Pathogens
Pneumonia
Proteins
Sepsis
Sinusitis
Streptococcus infections
Vaccines
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Summary:We present a rare case of Moraxella catarrhalis meningitis in a 51-year-old immunocompetent woman after surgical resection of a fourth ventricle ganglioma. Notably, the patient had no history of sinusitis or otitis media, which are typical predisposing factors for Moraxella infection. She developed symptoms including headache, altered mental status, and neurological deficits three days post discharge, leading to her diagnosis confirmed by cerebrospinal fluid culture. This case highlights the diagnostic challenges and management complexities of atypical meningitis post neurosurgery. The occurrence emphasizes the necessity of considering Moraxella catarrhalis in differential diagnoses, particularly following neurosurgical procedures. This instance contributes to the scarce documentation of such infections in immunocompetent adults, underscoring the importance of vigilant microbiological evaluation and tailored antimicrobial therapy in postoperative settings.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.59689