Lumbar-peritoneal shunt-associated meningitis and peritoneal abscess due to Corynebacterium striatum: A case report and literature review

IF 1.7 4区医学 Q3 INFECTIOUS DISEASES

Journal of Infection and Chemotherapy Pub Date : 2026-01-01 Epub Date: 2025-12-12 DOI:10.1016/j.jiac.2025.102895

Akiho Maeda , Koji Hayashi , Rina Izumi , Yusuke Tsujigiwa , Yuka Nakaya , Yoshitomo Fukuoka , Kohei Ueda , Norichika Hashimoto

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引用次数: 0

Abstract

We describe the first case of both a peritoneal abscess and a lumbar-peritoneal (LP) shunt infection related to Corynebacterium striatum (C. striatum). An 85-year-old Japanese male with a history of diabetes, hyperlipidemia, and a pulmonary vein isolation procedure for atrial fibrillation presented with urinary incontinence, gait disturbance, and cognitive decline. He was diagnosed with normal-pressure hydrocephalus (NPH) and underwent LP shunt surgery. Postoperatively, he developed pneumonia followed by an intra-abdominal abscess and bacterial meningitis. C. striatum was isolated from both cerebrospinal fluid (CSF) and intraperitoneal abscess. Despite antibiotic treatment including vancomycin, he developed septic shock and ultimately resulted in his death.

The LP shunt likely facilitated the entry of C. striatum into the CSF, resulting in meningitis and subsequent abscess formation. Despite appropriate antibiotic treatment including vancomycin, C. striatum infections can be resistant and lead to severe outcomes. This case highlights a new complication associated with C. striatum: bacterial meningitis and intraperitoneal abscesses via an LP shunt, expanding its clinical spectrum.

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纹状棒状杆菌所致腰腹膜分流相关脑膜炎及腹膜脓肿1例报告及文献复习。

我们描述了第一例腹膜脓肿和腰-腹膜（LP）分流感染与纹状棒状杆菌（C.纹状体）。一名85岁日本男性，有糖尿病、高脂血症病史，因房颤而行肺静脉隔离手术，表现为尿失禁、步态障碍和认知能力下降。他被诊断为常压脑积水（NPH）并接受了LP分流手术。术后，患者出现肺炎，并发腹腔脓肿和细菌性脑膜炎。纹状体c从脑脊液和腹腔脓肿中分离。尽管接受了包括万古霉素在内的抗生素治疗，他还是患上了感染性休克，最终导致了他的死亡。LP分流可能促进纹状体梭状体进入脑脊液，导致脑膜炎和随后的脓肿形成。尽管适当的抗生素治疗包括万古霉素，纹状体梭状体感染可耐药并导致严重的后果。本病例突出了纹状体梭状体的新并发症：细菌性脑膜炎和经LP分流的腹膜内脓肿，扩大了其临床范围。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Infection and Chemotherapy INFECTIOUS DISEASES-PHARMACOLOGY & PHARMACY

CiteScore

4.10

自引率

4.50%

发文量

303

审稿时长

47 days

期刊介绍： The Journal of Infection and Chemotherapy (JIC) — official journal of the Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases — welcomes original papers, laboratory or clinical, as well as case reports, notes, committee reports, surveillance and guidelines from all parts of the world on all aspects of chemotherapy, covering the pathogenesis, diagnosis, treatment, and control of infection, including treatment with anticancer drugs. Experimental studies on animal models and pharmacokinetics, and reports on epidemiology and clinical trials are particularly welcome.