Cerebral Salt Wasting Due to Bacteremia Caused by <i>Elizabethkingia meningoseptica</i>: A Case Report
| Author | Kurniawan Taufiq Kadafi | en |
| Author | Saptadi Yuliarto | en |
| Author | Haryudi Aji Cahyono | en |
| Author | Irene Ratridewi | en |
| Author | Takhta Khalasha | en |
| Orcid | Kurniawan Taufiq Kadafi [0000-0003-2328-079X] | en |
| Orcid | Saptadi Yuliarto [0000-0003-0824-2883] | en |
| Orcid | Takhta Khalasha [0000-0003-4334-8800] | en |
| Issued Date | 2020-01-31 | en |
| Abstract | Introduction: Elizabethkingia meningoseptica is a Gram-negative Bacillus associated with various nosocomial infections. These bacteria cause meningitis, sepsis, bacteremia, pneumonia, infections of the skin and soft tissue, ocular infections, sinusitis, epididymitis, and endocarditis. They can be opportunistic pathogens in newborns and immunocompromised patients. Case Presentation: The current study reported a case of bacteremia caused by E. meningoseptica in an infant presented with clinical presentations suggestive of necrotizing fasciitis with cerebral salt wasting and disseminated intravascular coagulation. Based on clinical diagnosis and preliminary blood culture report, the patient started receiving intravenous antibiotic (cefepime plus fludrocortisone) and fluid therapy for electrolyte imbalance. The patient also had fasciotomy and an amputation through the distal phalanges due to necrotizing fasciitis. The patient improved clinically after eight weeks of treatment. Conclusions: E. meningoseptica bacteremia is commonly associated with complications; therefore, an appropriate and adequate antibiotic therapy, and also intensive care procedures and multidisciplinary interventions were crucial for the management of this case. | en |
| DOI | https://doi.org/10.5812/pedinfect.88432 | en |
| Keyword | <i>Elizabethkingia meningoseptica</i> | en |
| Keyword | Cerebral Salt Wasting | en |
| Keyword | Disseminated Intravascular Coagulation | en |
| Keyword | Necrotizing Fasciitis | en |
| Publisher | Brieflands | en |
| Title | Cerebral Salt Wasting Due to Bacteremia Caused by <i>Elizabethkingia meningoseptica</i>: A Case Report | en |
| Type | Case Report | en |