Kocuria kristinae Meningoencephalitis: Case Report - Literature Review

Nada Barkia¹, Khouloud Mnif^1, , Hana Chaabouni¹, Yoldez Ben Jemaa², Tarak Ben Jemaa¹, Amira Trigui² and Mounir Ben Jemaa¹

¹Infectious diseases department.Hedi Chaker Hospital, Sfax, Tunisia

²Ophtalmology Department. Habib Bourguiba Hospital, Sfax, Tunisia

Cite this paper:
Nada Barkia, Khouloud Mnif, Hana Chaabouni, Yoldez Ben Jemaa, Tarak Ben Jemaa, Amira Trigui and Mounir Ben Jemaa. Kocuria kristinae Meningoencephalitis: Case Report - Literature Review. American Journal of Medical Case Reports. 2025; 13(12):88-90. doi: 10.12691/ajmcr-13-12-2

Abstract

Kocuria (K) kristinae is a rare pathogen, with only a few reported cases, predominantly in immunocompromised patients and occasionally in immunocompetent individuals. This report presents a case of K.kristinae meningoencephalitis in 34-year-old man undergoing neurosurgery for a type 1 Arnold Chiari malformation with a ventriculoperitoneal shunt. The patient developed fever and epileptic seizures, prompting an etiological investigation, including lumbar puncture and the CSF was clear, 140 leukocytes/mL with 40% neutrophil polynuclear and 60% lymphocyte, increased proteinorachy to 0.61g/L and hypoglucorachy to 0.59 mmol/L, with a positive culture for K. Kristinae. The patient received 45 days of antibiotic therapy with meropenem and vancomycin.Despite treatment, the patient succumbed to progressive neurological deterioration.

Keywords:
Kocuria kristinae meningoencephalitis rare

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