Elizabethkingia meningosepticum has been reported in cases of pneumonia, endocarditis, wound infections, post-operative bacteraemia and meningitis. It usually affects patients with severe underlying illness/immunocompromised host. An 18-yearold female, presented with a history of fever, cough, expectoration, loss of appetite and breathlessness for two weeks. Diagnostic evaluation revealed right-sided pleural effusion with consolidation. In view of patient being an inmate at residential facility for homeless where prevalence of tuberculosis (TB) was high, anti-TB treatment was empirically initiated. Pleural fluid later grew a Gram-negative non-fermenter, identified as Elizabethkingia meningosepticum.
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