A Diagnostic Challenge: Gout Mimics Septic Arthritis in a CKD Patient

Elizabethkingia Meningoseptica, previously known as Chryseobacterium Meningosepticum and Flavobacterium Meningosepticum, is a rare multi drug resistant bacteria found in soil and water that can cause nosocomial infections. It is an opportunistic human pathogen mostly associated with neonatal meningitis. However, it is infrequently found to cause bacteremia in immunocompromised adults. Several outbreaks have been reported worldwide in India, Taiwan, United Kingdom, and United States. Outbreak from Elizabethkingia Anophelis has been reported in Wisconsin between 2015-2016, however most cases reported for Elizabethkingia Meningoseptica in the United States have been reported prior to 1996. We report a case of Elizabethkingia Meningoseptica with septic shock secondary to bacteremia and meningitis in an immunocompromised patient.