# Elizabethkingia meningoseptica Causing Infection in a Chronic Kidney Disease Patient With Hepatitis B Positive Status: Unraveling the Hidden Culprit

## TL;DR

A rare bacterial infection caused by Elizabethkingia meningoseptica is reported in a patient with chronic kidney disease and hepatitis B, highlighting diagnostic and treatment challenges.

## Contribution

This case report highlights the complexities of managing E. meningoseptica infections in patients with multiple comorbidities.

## Key findings

- E. meningoseptica infection occurred in a patient with end-stage renal disease undergoing hemodialysis.
- The patient also had a positive status for hepatitis B, complicating treatment and diagnosis.
- The case underscores the challenges of treating antibiotic-resistant infections in immunocompromised individuals.

## Abstract

Elizabethkingia meningoseptica is a rare gram-negative bacterium recognized for its propensity to induce hospital-acquired infections, particularly in individuals with compromised immune systems and those equipped with indwelling medical devices. Its notorious resistance to a broad spectrum of antibiotics poses a considerable challenge in treatment protocols, contributing to its emergence as a significant cause of heightened mortality rates among critically ill patients. Herein, we present a case of E. meningoseptica infection in a patient afflicted with end-stage renal disease (ESRD) undergoing maintenance hemodialysis, concurrently grappling with ESRD, and a positive status for hepatitis B. This case report aims to shed light on the intricate complexities involved in diagnosing and managing such infections within this intricate clinical context.