EC Paediatrics

Providencia rettgeri is a gram negative opportunistic organism from Enterobacteriaceae family. These pathogens are mostly related to urinary tract and nosocomial infections but now are being seen to involve multiple organs. Meningitis by Providencia is rare and has been reported by Providencia stuartii in past. In our case report we are going to present a case of meningitis by Providencia rettgeri in 11 months old male who was known case of aqueductal stenosis and came with abdominal complications of ventriculoperitoneal shunt (VPS). Patient underwent exploratory laparotomy and VPS was removed due to persistent fever and switched to EVD. Repeat cerebrospinal fluid (CSF) cultures were showing growth of multiple organisms. After adequate treatment with both intravenous and intrathecal antibiotics as per drug sensitivity pattern, CSF cultures reported negative. VPS placed again. Patient also had malaria vivax infection which was treated as per malaria treatment guideline. With combined efforts of both medical and surgical management patient got improved and discharged home.

Keywords: Providencia rettgeri; Meningitis; Malaria; Ventriculoperitoneal Shunt; Case Report

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