Polymicrobial Ventriculitis Involving Pseudomonas fulva

Infections due to Pseudomonas fulva remain a rare but emerging concern. A case of ventriculitis due to Enterobacter cloacae and Pseudomonas fulva following placement of an external ventricular drain is described. Similar to other reports, the organism was initially misidentified as Pseudomonas putida. The infection was successfully treated with levofloxacin. CASE REPORT A55-year-old woman with a history of chronic migraines andhypertension was transferred to Emory University Hospital for management of a spontaneous subarachnoid hemorrhage. The patient complained of 1 week of worsening migraine head-aches but denied nausea, vomiting, and neurologic disturbances until the day of admission, when she developed generalized par-esthesia and progressive decline in the level of consciousness. On initial examination, shewas lethargic and confused but hermotor, sensory, and cranial nerves were intact. A computed tomography (CT) scan of the head showed a large subarachnoid hemorrhage in the basilar cisterns, bilateral sylvian fissures, and the interhemi-spheric fissure with hydrocephalus. Subsequently, an externa