Neonatal citrobacter meningitis: neurosonographic observations.
نویسندگان
چکیده
Meningitis caused by gram-negative enteric bacteria usually is limited in children to the neonatal period. Among neonates, the disease is severe, with a mortality of up to 80%. The most common etiologic agent in this type of meningitis is Escherichia coli. Meningitis due to Citrobacter diversus has occurred in sporadic small outbreaks throughout the United States. This devastating disease frequently results in death, brain abscess, or white matter necrosis.1–3 Central nervous system infection with Citrobacter diversus seems to have a unusual propensity for producing massive white matter necrosis, liquefaction, cavitation, and brain abscess. The morbid anatomy, possible pathophysiologic events, and neurosonographic findings of Citrobacter diversus meningitis are distinct from the findings in meningitis from more common bacterial agents and are described here. CASE REPORT
منابع مشابه
Complications of Citrobacter neonatal meningitis: assessment by real-time cranial sonography correlated with CT.
Real-time cranial sonography via the anterior fontanelle was used serially over a 3- and 6-week period, respectively, to evaluate two infants who developed multicystic encephalomalacia secondary to Citrobacter neonatal meningitis. Sonographic findings included heterogeneous parenchymal echogenicity, gyral prominence, periventricular hypoechoic areas from which cystic spaces evolved, and develop...
متن کاملFulminant citrobacter meningitis with multiple periventricular abscesses in a three-month-old infant.
Citrobacter, a Gram-negative enteric bacillus, is a rare cause of septicemia and meningitis, seldom reported beyond the neonatal period. It is characterized by a fulminant clinical course and a high incidence of complications, including brain abscesses. We studied a three-month-old infant with Citrobacter meningitis, who developed acute communicating hydrocephalus and multiple periventricular b...
متن کاملNeonatal meningitis caused by Citrobacter koseri.
Three cases of neonatal meningitis, two of which were fatal, occurred in a premature baby unit during a period of one week. A fourth case occurred in the same unit six months later. Citrobacter koseri was isolated from the cerebrospinal fluid of all four cases. Detailed biochemical and serological examination of the organisms showed that two distinct bioserotypes were involved.
متن کاملNeonatal Citrobacter koseri Meningitis: Report of Four Cases
Citrobacter koseri is a rare cause of neonatal meningitis with predisposal for brain abscesses, and therefore responsible for high mortality and serious neurologic sequelae in this age group. We present the evolution and outcome of four cases of C. koseri meningitis. One of them developed brain abscesses and another one died. The cases show the bacteria's propensity for serious brain damage, de...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
دوره 17 6 شماره
صفحات -
تاریخ انتشار 1998