Journal of Pediatric Neurology
DOI: 10.1055/s-0040-1718379
Case Report

Neonatal Escherichia coli Meningitis, Complications, and Neurological Outcome

1  Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
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1  Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
1  Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
1  Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
1  Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
,
1  Department of Pediatrics, Pediatric Emergency and Intensive Care, Hedi Chaker University Faculty of Medicine, Sfax, Tunisia
› Author Affiliations

Abstract

Neonatal bacterial meningitis represents a major cause of mortality and morbidity in newborns worldwide. It leads to immediate and long-term neurological complications. We report 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.



Publication History

Received: 09 July 2020

Accepted: 02 September 2020

Publication Date:
09 October 2020 (online)

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