{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T05:25:59Z","timestamp":1731734759325,"version":"3.28.0"},"reference-count":19,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p><jats:italic>Achromobacter xylosoxidans<\/jats:italic> (AX) is an aerobic Gram-negative opportunistic bacteria known to inhabit various environments and is most commonly associated with nosocomial infections in immune-compromised patients. Although rare, AX can cause a variety of neurological infections, such as meningitis, ventriculitis, and osteomyelitis. Intravascular catheters, intrathecal pumps, and contaminated surgical instruments are potential vectors for such patients.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>Here, we present a unique case of multidrug-resistant AX-positive meningitis secondary to infection of a nonfunctional intrathecal narcotic pump. The patient has a complex past medical history leading up to infection, and care was significantly compromised by homelessness and inflammatory bowel disease (IBD). Treatment included catheter removal and antibiotics.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Patients who suffer from homelessness or IBD show a possible increased risk of this infection. This case emphasizes the need for increased care regarding these patients, along with describing the complications and timeline when treating this rare type of meningitis.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_764_2024","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T14:44:04Z","timestamp":1731681844000},"page":"424","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rare case of resistant <i>Achromobacter xylosoxidans-<\/i>associated meningitis due to intrathecal catheter"],"prefix":"10.25259","volume":"15","author":[{"given":"Ajay","family":"Nair","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vito","family":"Lucarelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alastair","family":"Hoyt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"10.25259\/SNI_764_2024\/ref-1","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1186\/s13054-016-1523-y","article-title":"Cerebrospinal fluid penetration of meropenem in neurocritical care patients with proven or suspected ventriculitis: A prospective observational study","volume":"20","author":"Blassmann","year":"2016","journal-title":"Crit Care"},{"key":"10.25259\/SNI_764_2024\/ref-2","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.12788\/cutis.0087","article-title":"An unusual skin infection with Achromobacter xylosoxidans","volume":"106","author":"Crosby","year":"2020","journal-title":"Cutis"},{"key":"10.25259\/SNI_764_2024\/ref-3","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.bjae.2019.11.002","article-title":"Complications associated with intrathecal drug delivery systems","volume":"20","author":"Delhaas","year":"2020","journal-title":"BJA Educ"},{"key":"10.25259\/SNI_764_2024\/ref-4","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1186\/s12913-021-06426-z","article-title":"Identifying homeless population needs in the Emergency Department using Community-Based Participatory Research","volume":"21","author":"Franco","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"10.25259\/SNI_764_2024\/ref-5","doi-asserted-by":"crossref","first-page":"E413","DOI":"10.1097\/BRS.0000000000000195","article-title":"L5-S1 Achromobacter xylosoxidans infection secondary to oxygen-ozone therapy for the treatment of lumbosacral disc herniation: A case report and review of the literature","volume":"39","author":"Fort","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_764_2024\/ref-6","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/01.NURSE.0000918524.41501.98","article-title":"Medical respite post-hospitalization for adults experiencing homelessness","volume":"53","author":"Hadenfeldt","year":"2023","journal-title":"Nursing"},{"key":"10.25259\/SNI_764_2024\/ref-7","doi-asserted-by":"crossref","first-page":"100202","DOI":"10.1016\/j.infpip.2022.100202","article-title":"Case of recurrent Achromobacter xylosoxidans bacteraemia and PICC (peripherally-inserted central catheter) line infection in an immunocompromised patient","volume":"4","author":"Houlihan","year":"2022","journal-title":"Infect Prev Pract"},{"key":"10.25259\/SNI_764_2024\/ref-8","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1128\/AAC.04260-14","article-title":"Genomic insights into intrinsic and acquired drug resistance mechanisms in Achromobacter xylosoxidans","volume":"59","author":"Hu","year":"2015","journal-title":"Antimicrob Agents Chemother"},{"key":"10.25259\/SNI_764_2024\/ref-9","doi-asserted-by":"crossref","first-page":"e01025","DOI":"10.1128\/AAC.01025-20","article-title":"Achromobacter infections and treatment options","volume":"64","author":"Isler","year":"2020","journal-title":"Antimicrob Agents Chemother"},{"key":"10.25259\/SNI_764_2024\/ref-10","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1128\/CMR.00019-07","article-title":"Complicated catheter-associated urinary tract infections due to Escherichia coli and Proteus mirabilis","volume":"21","author":"Jacobsen","year":"2008","journal-title":"Clin Microbiol Rev"},{"key":"10.25259\/SNI_764_2024\/ref-11","first-page":"14","article-title":"Hospital discharge planning for people experiencing homelessness leaving acute care: A neglected issue","volume":"16","author":"Jenkinson","year":"2020","journal-title":"Healthc Policy"},{"key":"10.25259\/SNI_764_2024\/ref-12","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1186\/s12889-023-16503-z","article-title":"Predictors and consequences of homelessness in whole-population observational studies that used administrative data: A systematic review","volume":"23","author":"Mitchell","year":"2023","journal-title":"BMC Public Health"},{"key":"10.25259\/SNI_764_2024\/ref-13","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1128\/AAC.41.5.987","article-title":"Kinetics of piperacillin and tazobactam in ventricular cerebrospinal fluid of hydrocephalic patients","volume":"41","author":"Nau","year":"1997","journal-title":"Antimicrob Agents Chemother"},{"key":"10.25259\/SNI_764_2024\/ref-14","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1177\/0897190015585757","article-title":"Success with extended-infusion meropenem after recurrence of baclofen pump-related Achromobacter xylosoxidans meningitis in an adolescent","volume":"28","author":"Nichols","year":"2015","journal-title":"J Pharm Pract"},{"key":"10.25259\/SNI_764_2024\/ref-15","first-page":"268","article-title":"Achromobacter xylosoxidans bacteremia: Clinical and microbiological features in a 10-year case series","volume":"31","author":"P\u00e9rez Barrag\u00e1n","year":"2018","journal-title":"Rev Esp Quimioter"},{"key":"10.25259\/SNI_764_2024\/ref-16","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.wneu.2020.05.283","article-title":"Polymicrobial intracerebral abscess growing Mycobacterium avium complex and Achromobacter xylosoxidans Case report and literature review","volume":"141","author":"Rotter","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_764_2024\/ref-17","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1136\/jcp.31.2.156","article-title":"Cerebral ventriculitis associated with Achromobacter xylosoxidans","volume":"31","author":"Shigeta","year":"1978","journal-title":"J Clin Pathol"},{"key":"10.25259\/SNI_764_2024\/ref-18","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1007\/s10096-005-0028-4","article-title":"Outbreak of long-term intravascular catheter-related bacteremia due to Achromobacter xylosoxidans subspecies xylosoxidans in a hemodialysis unit","volume":"24","author":"Tena","year":"2005","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"10.25259\/SNI_764_2024\/ref-19","doi-asserted-by":"crossref","first-page":"10899","DOI":"10.3390\/ijms241310899","article-title":"CRP in outpatients with inflammatory bowel disease is linked to the blood microbiota","volume":"24","author":"Xu","year":"2023","journal-title":"Int J Mol Sci"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/rare-case-of-resistant-achromobacter-xylosoxidans-associated-meningitis-due-to-intrathecal-catheter\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/rare-case-of-resistant-achromobacter-xylosoxidans-associated-meningitis-due-to-intrathecal-catheter\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T14:44:08Z","timestamp":1731681848000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/rare-case-of-resistant-achromobacter-xylosoxidans-associated-meningitis-due-to-intrathecal-catheter\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,15]]},"references-count":19,"alternative-id":["10.25259\/SNI_764_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_764_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11,15]]},"article-number":"424"}}