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B acteroides fragilis concealed in an infant with E scherichia coli meningitis
Author(s) -
Ganeshalingham Anusha,
Buckley David,
Shaw Ian,
Freeman Joshua T,
Wilson Francessa,
Best Emma
Publication year - 2014
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.12394
Subject(s) - medicine , neonatal meningitis , meningitis , cerebrospinal fluid , microbiology and biotechnology , escherichia coli , antimicrobial , immunology , pediatrics , biology , biochemistry , gene
Anaerobic meningitis in infants is rare, therefore a high index of clinical suspicion is essential as routine methods for processing cerebrospinal fluid (CSF) do not detect anaerobes and specific antimicrobial therapy is required. We present an infant with Escherichia coli meningitis where treatment‐resistance developed in association with culture negative purulent CSF. These features should have alerted us to the presence of anaerobes, prompting a search for the causes of polymicrobial meningitis in infants.