Stenotrophomonas maltophilia meningitis

Infections due to stenotrophomonas maltophilia are increasingly recognised. Meningitis related to this nosocomial pathogen is however rarely reported. The authors report a new case of meningitis in a debilitating 59- year-old patient. The patient underwent multiple neurosurgical procedures and cerebrospinal fluid [CSF] diversion. He was submitted to prolonged broad-spectrum antibiotherapy. Culture of the CSF and the ventricular catheter tip isolated stenotrophomonas maltophilia. The infection responded well to trimethoprim-sulfamethoxazole. Reported neurosurgical patients with stenotrophomonas meningitis are reviewed