Ralstonia Mannitolilytica: An increasingly recognized healthcare-associated pathogen

Abstract

Ralstonia species are more frequently being recognised as causative agents of serious healthcare-associated infection especially among immunocompromised individuals. Ralstonia species are environmental, non-fermenting, aerobic, Gram-negative bacilli typically found in water and soil. Ralstonia mannitolilytica, Ralstonia pickettii and Ralstonia insidiosa have been responsible for human infections such as bacteraemia and bone infection. Central nervous system infection and infection in immune competent individuals are uncommon. We report a case of ventriculoperitoneal shunt infection and meningitis caused by R. mannitolilytica in an immune competent 11-month-old female.