Successful Treatment of Stomatococcus mucilaginosus Meningitis with Intravenous Vancomycin and Intravenous Ceftriaxone

Stomatococcus mucilaginosus is a gram-positive bacterium normally found in the oropharynx and upper respiratory tract. S. mucilaginosus has been reported to cause bacteremia, intravascular catheter infections, endocarditis, peritonitis, respiratory infections, and intracranial infections. Five detai...

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Bibliographic Details
Published in:Clinical infectious diseases 1997-02, Vol.24 (2), p.278-278
Main Authors: Park, Matthew K., Khan, Javed, Stock, Frida, Lucey, Daniel R.
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - administration & dosage
Antibiotics
Bacterial diseases
Bacterial diseases of the nervous system. Bacterial myositis
Bacterial meningitis
Biological and medical sciences
Blood
Brief Reports
Ceftriaxone - administration & dosage
Cephalosporins - administration & dosage
Child, Preschool
Children
Gram-Negative Bacterial Infections - drug therapy
Human bacterial diseases
Humans
Infections
Infectious diseases
Infusions, Intravenous
Intravenous injections
Leukemia
Medical sciences
Meningitis, Bacterial - drug therapy
Stomatococcus mucilaginosus
Vancomycin - administration & dosage
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Summary:Stomatococcus mucilaginosus is a gram-positive bacterium normally found in the oropharynx and upper respiratory tract. S. mucilaginosus has been reported to cause bacteremia, intravascular catheter infections, endocarditis, peritonitis, respiratory infections, and intracranial infections. Five detailed reports of S. mucilaginosus meningitis in immunocompromised hosts have been published. The one patient who survived longer than the period of acute treatment received intrathecal vancomycin and intravenous antibiotics; thus, the recommendation was made that intrathecal vancomycin be administered to patients with meningitis due to S. mucilaginosus. We describe a case of S. mucilaginosus meningitis in a child with leukemia in whom infection resolved without the use of intrathecal vancomycin therapy.
ISSN:1058-4838
1537-6591
DOI:10.1093/clinids/24.2.278