J Pediatr Infect Dis 2010; 05(03): 289-292
DOI: 10.3233/JPI-2010-0257
Georg Thieme Verlag KG Stuttgart – New York

A neonate with focal cerebritis caused by Campylobacter fetus

Yasuko Nakajima-Kawakami
a   Department of Pediatrics, International Goodwill Hospital, Yokohama, Kanagawa, Japan
,
Akihisa Okumura
b   Department of Pediatrics, Juntendo University School of Medicine, Hongo, Bunkyo-ku, Tokyo, Japan
,
Shintaro Yamashita
a   Department of Pediatrics, International Goodwill Hospital, Yokohama, Kanagawa, Japan
,
Mari Mori
a   Department of Pediatrics, International Goodwill Hospital, Yokohama, Kanagawa, Japan
,
Akimichi Ishikawa
a   Department of Pediatrics, International Goodwill Hospital, Yokohama, Kanagawa, Japan
,
Kiyoko Sameshima
c   Department of Neurology, Kanagawa Children’s Medical Center Yokohama, Kanagawa, Japan
,
Toshiaki Shimizu
b   Department of Pediatrics, Juntendo University School of Medicine, Hongo, Bunkyo-ku, Tokyo, Japan
› Author Affiliations

Subject Editor:
Further Information

Publication History

29 September 2009

25 November 2009

Publication Date:
28 July 2015 (online)

Abstract

A patient had recurrent pyrexia since 17 days of age followed by convulsions. At 20 days of age, cerebrospinal fluid (CSF) analysis showed mild pleocytosis, whereas bacterial culture of blood and CSF was negative and computed tomography was unremarkable. Campylobacter fetus grew from CSF sampled at 22 days of age and head computed tomography revealed low-density area in the left frontal lobe. The patient was diagnosed as having focal cerebritis and treated with intravenous ampicillin and cefotaxime successfully. Although West syndrome developed at 4 months of age, his psychomotor development was within normal range. Our patient shows that neonatal C. fetus infection can cause focal cerebritis.