A rare case of Elizabethkingia meningoseptica infection in a neonate

• DOI: 10.15562/ism.v14i2.1783
• Publication Date: 2023-11-20T00:05:48Z
• Authors: Felicia Anita Wi...; I Wayan Gustawan; I Made Gede Dwi ...; Made Sukmawati; I Made Kardana; I Wayan Dharma A...; Putu Junara Putra
• Keywords: Blood Culture

Background: Elizabethkingia infections were reportedly rare, but if it was found, had been known to cause neonatal meningitis, bloodstream and respiratory infections. meningoseptica a unique antibiotic susceptibility pattern, usually resistant most antibiotics. associated with high mortality rate because of the lack effective therapeutic regimens, resistance virulence. Case Presentation: Fourteen days old boy patient came chief complaint seizure, which occurred twice. Before fever highest temperature 39°C. The looked lethargic, tended sleep more often, cried occasionally not as active previously. Septic marker revealed an Immature Total neutrophil (IT) ratio 0.2 C-Reactive Protein (CRP) 49.30 mg/dL. A blood smear examination showed toxic granules, vacuolization leucocyte reactive thrombocytosis. Cerebrospinal fluid analysis cell number 2520 cell/uL, polymorphonuclear (PMN) 80%, mononuclear (MN) 20%, Nonne Pandy positive, protein level at 300 mg/dL cerebrospinal glucose below 20 initially diagnosed sepsis meningitis given ampicillin gentamicin. Blood culture isolated significantly infection-causing agent. sensitivity ciprofloxacin levofloxacin. During treatment, there several inappropriate results between clinical manifestation laboratory results; changed levofloxacin according culture. Conclusion: rare case, nature this bacteria multiple Treatment should be considered carefully.