Infectious Disease Compendium

Elizabethkingia meningoseptica

Microbiology

Gram-negative nonfermenting obligate aerobe.

Epidemiologic Risks

They are found in the environment, especially water including hospital water.

There has been an on going issue with outbreaks in Illinois that is an ongoing sporadic infection among critically ill patients rather than a point source issue (PubMed).

Syndromes

Bacteremia, VAP, meningitis usually nosocomial.

Treatment

Often multidrug resistant, perhaps piperacillin/tazobactam or TMP/Sulfapending susceptibility testing.

One study suggests lower mortality with quinolones (PubMed).

Notes