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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 23, Issue 1, Pages e16-e19
http://dx.doi.org/10.1155/2012/609305
Case Report

Meningitis due to Bacillus cereus: A Case Report and Review of the Literature

Michael P Stevens, Kara Elam, and Gonzalo Bearman

Department of Medicine, Division of Infectious Diseases, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA

Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bacillus cereus is infrequently associated with invasive central nervous system (CNS) disease. Infection is associated with conditions that lead to reduced host immunity and provide direct access to the CNS, such as spinal anesthesia and ventricular tubes and shunts. A case of ventriculitis secondary to B cereus in a patient receiving intrathecal chemotherapy is reported, along with a review of the current literature. B cereus can colonize medical devices, thus posing a risk for invasive disease. Despite aggressive treatment with broad-spectrum anti-infectives, the mortality of CNS invasive B cereus is high. Clinicians should not dismiss Gram-positive rods resembling Bacillus species from normally sterile sites as contaminants in critically ill patients. Appropriate antibiotic therapy should be promptly initiated to limit morbidity and mortality.