Pseudomonas aeruginosa infective endocarditis presenting as bacterial meningitis

• Published in: The Journal of infection Vol. 51; no. 4; pp. e199 - e202
• Main Authors: Venkatesan, Arun, Spalding, Cassie, Speedie, Andrea, Sinha, Gita, Rumbaugh, Jeffrey A.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.11.2005
• Subjects: Acyclovir - administration & dosage; Ampicillin - administration & dosage; Calcification, Physiologic; Cephalosporins - administration & dosage; Community-Acquired Infections - diagnosis; Community-Acquired Infections - etiology; Community-Acquired Infections - microbiology; Diagnosis, Differential; Echocardiography, Transesophageal - methods; Endocarditis; Endocarditis, Bacterial - complications; Endocarditis, Bacterial - diagnostic imaging; Endocarditis, Bacterial - drug therapy; Endocarditis, Bacterial - microbiology; Female; Gentamicins - administration & dosage; Humans; Meningitis; Meningitis, Bacterial - diagnosis; Meningitis, Bacterial - drug therapy; Meningitis, Bacterial - etiology; Meningitis, Bacterial - microbiology; Middle Aged; Mitral annular calcification; Pseudomonas aeruginosa; Pseudomonas aeruginosa - isolation & purification; Pseudomonas Infections - diagnosis; Pseudomonas Infections - drug therapy; Pseudomonas Infections - etiology; Risk Factors; Vancomycin - administration & dosage; Mitral annular calcification; Meningitis; Pseudomonas aeruginosa; Endocarditis
• ISSN: 0163-4453; 1532-2742
• DOI: 10.1016/j.jinf.2005.02.019

Pseudomonas aeruginosa is a rare cause of infective endocarditis. The case of community-acquired P. aeruginosa infective endocarditis reported here is the first described in the literature to present as bacterial meningitis. Furthermore, new risk factors for P. aeruginosa infective endocarditis, including mitral annular calcification and re-use of insulin syringes, are proposed. Treatment of P. aeruginosa infective endocarditis complicated by bacterial meningitis is discussed.