Neonatal meningitis associated with osteomyelitis and epidural empyema.
BMJ Case Rep
; 20132013 Aug 23.
Article
en En
| MEDLINE
| ID: mdl-23975909
ABSTRACT
Neonatal meningitis is a serious disease with signiï¬cant mortality and morbidity. Its signs and symptoms are subtle, non-specific, atypical or absent. Cephalohaematoma is frequent in newborns and complications are uncommon, including local infection after haematogenous spread in the setting of bacteraemia or meningitis with a possibility of osteomyelitis, epidural abscess and subdural empyema. We report the case of a late preterm newborn, with an unremarkable pregnancy, born by vacuum-assisted vaginal delivery that presented in the fifth day of life with irritability, fever and grunting. Cerebrospinal fluid and blood cultures were positive for Escherichia coli. The patient had neurological deterioration despite adequate antibiotic therapy and brain MRI showed a right parietal epidural empyema, subcutaneous abscess, osteomyelitis and supratentorial hydrocephalus. The culture of the cephalohaematoma's abscess material was positive for E coli. Antibiotic therapy was continued for 8 weeks. The child, now 2 years old, has spastic tetraparesis with global development delay.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Osteomielitis
/
Empiema Subdural
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Absceso Epidural
/
Meningitis por Escherichia coli
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Hematoma
Tipo de estudio:
Risk_factors_studies
Límite:
Female
/
Humans
/
Newborn
Idioma:
En
Revista:
BMJ Case Rep
Año:
2013
Tipo del documento:
Article
País de afiliación:
Portugal