Case presentation A 6-month-old female infant was presented with high fever, vomiting, decreased feeding, and irritability. The infant had been previously diagnosed with congenital hydrocephalus and had undergone ventriculoperitoneal (VP) shunt surgery about two weeks ago. Physical examination Temperature - 37.7°C Respiratory rate – 60 breaths/min Heart rate – 136 beats/min CNS examination was done, which showed exaggerated reflexes on all limbs, decreased power, and hypertonia.
However, all other examinations of the pupils, respiratory system, abdomen, and cardiovascular system were normal. CSF analysis WBC count - 400 × 10 6 /L (95% polymorphs and 5% lymphocytes) Protein level - 141 mg/dl Glucose level- 40 mg/dl Blood glucose level - 70 mg/dl Gram staining of CSF showed gram-negative bacteria. CSF culturing on Sheep blood agar (Cover image) and Mac Conkey’s agar showed the presence of…
