Isolation of Multidrug Resistant Elizabethkingia Meningoseptica from an Immune-Compromised Patient

Elizabethkingia meningoseptica is an emerging pathogen known to cause meningitis, pneumonia, endocarditis, bacteremia, wound & soft tissue infection, abdominal, respiratory and ocular infections, dialysis associated peritonitis and prosthesis associated septic arthritis; especially in immunodeficient hosts. We are reporting an uncommon case of nosocomial septicemia due to Elizabethkingia meningoseptica in a 56 year old male admitted with hypoglycemic encephalopathy. Patient had squamous cell carcinoma and was receiving chemotherapy. Using biochemical tests and VITEK 2 automated (Biomerieux) Identification and Antimicrobial Sensitivity Test (AST) system, the isolate was identified as Elizabethkingia meningoseptica and was found sensitive to Trimethoprim-Sulfamethoxazole only. His condition improved gradually after starting Trimethoprim-Sulfamethoxazole and repeat blood culture was sterile. To our knowledge from literature review, this is the first reported case of multidrug resistant Elizabethkingia meningoseptica septicemia from North India.