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Case Reports
. 2016 Jan;54(1):233-5.
doi: 10.1128/JCM.02041-15. Epub 2015 Oct 28.

Meningitis and Bacteremia Due to Neisseria cinerea following a Percutaneous Rhizotomy of the Trigeminal Ganglion

M von Kietzell  1 , H Richter  2 , T Bruderer  3 , D Goldenberger  4 , S Emonet  5 , C Strahm  6
Affiliations
Case Reports

Meningitis and Bacteremia Due to Neisseria cinerea following a Percutaneous Rhizotomy of the Trigeminal Ganglion

M von Kietzell et al. J Clin Microbiol. 2016 Jan.

Abstract

Neisseria cinerea is a human commensal. The first known case of meningitis and bacteremia due to Neisseria cinerea following percutaneous glycerol instillation of the trigeminal ganglion is reported. Conventional phenotypic methods and complete 16S RNA gene sequencing accurately identified the pathogen. Difficulties in differentiation from pathogenic neisseriae are discussed.

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Figures

FIG 1
FIG 1
(A) CT scan of our patient showing intracerebral air (arrow). (B) Percutaneous approach for puncture of the trigeminal ganglion via the foramen ovale of our patient.
FIG 2
FIG 2
Phylogenetic tree of related Neisseria 16S rRNA gene reference sequences compared to N. cinerea sequence KF646791 (1,486 bp) using ClustalW algorithm.
See this image and copyright information in PMC

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