Successful Management of Meningitis and Sepsis Due to Multidrug-Resistant Elizabethkingia meningoseptica in an Infant

We report a case of a two-month-old male infant, born prematurely, who initially presented with fever, irritability, and elevated inflammatory markers. He was then diagnosed with <i>Elizabethkingia meningoseptica </i>meningitis and sepsis. Treatment included intravenous levofloxacin, ampicillin, and cefotaxime. Despite the bacterium's multidrug resistance and high reported morbidity and mortality rates, the patient made a full recovery with no complications at discharge or follow-up. This case demonstrates the challenges in treating <i>E. meningoseptica </i>infections and highlights the potential clinical efficacy of antibiotic regimens that may not align with standard susceptibility testing.

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Publication Details

Journal
Cureus
Published
2026-01-12
DOI
https://doi.org/10.7759/cureus.101368
Primary Topic
Infections and bacterial resistance
Type
article
Field-Weighted Citation Impact
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article

Successful Management of Meningitis and Sepsis Due to Multidrug-Resistant Elizabethkingia meningoseptica in an Infant

Amina Mujahid, Arun Jayaraman, Shahad Alshamsi, Minat Allah Alhusami
Cureus
Infections and bacterial resistance
article

Successful Management of Meningitis and Sepsis Due to Multidrug-Resistant Elizabethkingia meningoseptica in an Infant

Amina Mujahid, Arun Jayaraman, Shahad Alshamsi, Minat Allah Alhusami
article en

Abstract

We report a case of a two-month-old male infant, born prematurely, who initially presented with fever, irritability, and elevated inflammatory markers. He was then diagnosed with <i>Elizabethkingia meningoseptica </i>meningitis and sepsis. Treatment included intravenous levofloxacin, ampicillin, and cefotaxime. Despite the bacterium's multidrug resistance and high reported morbidity and mortality rates, the patient made a full recovery with no complications at discharge or follow-up. This case demonstrates the challenges in treating <i>E. meningoseptica </i>infections and highlights the potential clinical efficacy of antibiotic regimens that may not align with standard susceptibility testing.

CureusVol. 18(1)
Mohammed Bin Rashid University of Medicine and Health Sciences (AE), Mediclinic City Hospital (AE)
Good health and well-being
Openalex Percentile: Top 91%
Infections and bacterial resistance
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