Meningitis in a patient with neutropenia due to Rothia mucilaginosa: a case report.

ABSTRACT:

Background

Rothia mucilaginosa is a Gram-positive bacterium occurring as a commensal in the oral cavity and upper respiratory tract. Although rarely pathogenic in an immunocompetent host, it can cause severe opportunistic infections in immunocompromised individuals.

Case presentation

A 67-year-old white woman had a routine blood analysis before undergoing knee surgery. The results showed leukopenia for which bone marrow examination was performed, showing an underlying acute myeloid leukemia. During the neutropenic phase after a second induction with cytarabine/idarubicin, she developed fever, headaches, and photophobia. Cultures of cerebrospinal fluid were positive for Rothia mucilaginosa. Despite full therapy with antibiotics, neurosurgical interventions, and intensive care

SUBMITTER: Clauwaert M 

PROVIDER: S-EPMC6413452 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature