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Journal of Pediatric Neurology 2021; 19(05): 336-338
DOI: 10.1055/s-0040-1718379
Case Report

Neonatal Escherichia coli Meningitis, Complications, and Neurological Outcome

Manel Wèli 
1   Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
Fatma Charfi 
1   Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
Amal Elleuch 
1   Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
Rim Charfi 
1   Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
Lamia Gargouri 
1   Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
Abdelmajid Mahfoudh 
1   Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
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Abstract

Neonatal bacterial meningitis represents a major cause of mortality and morbidity in newborns worldwide. It leads to immediate and long-term neurological complications. In this article, we reported a case of a term newborn with an unremarkable pregnancy and delivery, who was admitted to our neonatal ward on the fifth day of life for fever. Cerebrospinal fluid culture was positive for Escherichia coli. The infant had neurological deterioration and continued fever despite adequate antibiotic therapy. Brain MRI showed multiple subdural abscesses with ventriculitis. Antibiotic therapy was maintained for 90 days with total resolution of the abscesses. The child has a normal physical examination and appropriate psychomotor development at 9 months of age.

Keywords

bacterial meningitis - newborn - abscesses


Publication History

Received: 09 July 2020

Accepted: 02 September 2020

Article published online:
09 October 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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