Biofilm on ventriculoperitoneal shunt tubing as a cause of treatment failure in coccidioidal meningitis

被引:55
作者
Davis, LE
Cook, G
Costerton, JW
机构
[1] New Mexico VA Hlth Care Syst, Albuquerque, NM 87108 USA
[2] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA
[3] Bacterin, Bozeman, MT USA
[4] Montana State Univ, Bozeman, MT 59717 USA
关键词
D O I
10.3201/eid0804.010103
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We describe a case of recurrent coccidioidal meningitis in which a fungal biofilm on the tip of ventriculo-peritoneal shunt tubing was likely responsible for a 4-year persistence of Coccidioides immitis, despite the patient's taking an adequate dosage of fluconazole. Fungal biofilms should be considered as a cause for treatment failure and fungal persistence, especially when artificial prostheses or indwelling catheters are present.
引用
收藏
页码:376 / 379
页数:4
相关论文
共 15 条
[11]   COCCIDIOIDES-IMMITIS MENINGITIS WITH ARTHROCONIDIA IN CEREBROSPINAL-FLUID - REPORT OF THE 1ST CASE AND REVIEW OF THE ARTHROCONIDIA LITERATURE [J].
MEYER, PR ;
HUI, AN ;
BIDDLE, M .
HUMAN PATHOLOGY, 1982, 13 (12) :1136-1138
[12]   COCCIDIOIDOMYCOSIS OF THE CENTRAL-NERVOUS-SYSTEM - NEUROPATHOLOGICAL AND VASCULOPATHIC MANIFESTATIONS AND CLINICAL CORRELATES [J].
MISCHEL, PS ;
VINTERS, HV .
CLINICAL INFECTIOUS DISEASES, 1995, 20 (02) :400-405
[13]   TOBRAMYCIN RESISTANCE OF PSEUDOMONAS-AERUGINOSA CELLS GROWING AS A BIOFILM ON URINARY CATHETER MATERIAL [J].
NICKEL, JC ;
RUSESKA, I ;
WRIGHT, JB ;
COSTERTON, JW .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1985, 27 (04) :619-624
[14]  
WAGES DS, 1995, ARCH PATHOL LAB MED, V119, P91
[15]  
WALSH TJ, 1986, NEUROSURGERY, V18, P373, DOI 10.1097/00006123-198603000-00025