RESUMEN
We describe a case of infection with Cronobacter sakazakii sequence type 494 causing bacteremia and meningitis in a hospitalized late premature infant in Brazil. We conducted microbiological analyses on samples of powdered infant formula from the same batch as formula ingested by the infant but could not identify the source of contamination.
Asunto(s)
Cronobacter sakazakii/clasificación , Cronobacter sakazakii/genética , Infecciones por Enterobacteriaceae/diagnóstico , Infecciones por Enterobacteriaceae/microbiología , Meningitis Bacterianas/diagnóstico , Meningitis Bacterianas/microbiología , Bacteriemia , Encéfalo/patología , Brasil , Infecciones por Enterobacteriaceae/transmisión , Contaminación de Alimentos , Microbiología de Alimentos , Humanos , Lactante , Recién Nacido , Imagen por Resonancia Magnética , Meningitis Bacterianas/transmisión , Tipificación de Secuencias MultilocusAsunto(s)
Leptospirosis/transmisión , Meningitis Bacterianas/transmisión , Adolescente , Adulto , Antibacterianos/uso terapéutico , Femenino , Humanos , Leptospira , Leptospirosis/tratamiento farmacológico , Masculino , Meningitis Bacterianas/tratamiento farmacológico , Persona de Mediana Edad , Países Bajos , Factores de Riesgo , Viaje , Microbiología del Agua , Adulto JovenAsunto(s)
Citrobacter , Infecciones por Enterobacteriaceae/transmisión , Transmisión Vertical de Enfermedad Infecciosa , Meningitis Bacterianas/transmisión , Neumocéfalo/microbiología , Infecciones por Enterobacteriaceae/diagnóstico , Humanos , Recién Nacido , Masculino , Meningitis Bacterianas/diagnóstico , Neumocéfalo/diagnósticoAsunto(s)
Humanos , Recién Nacido , Lactante , Preescolar , Antibacterianos/administración & dosificación , Antibacterianos/farmacología , Vacunas Bacterianas/administración & dosificación , Farmacorresistencia Microbiana , Líquido Cefalorraquídeo , Meningitis Bacterianas/complicaciones , Meningitis Bacterianas/tratamiento farmacológico , Meningitis Bacterianas/terapia , Meningitis Bacterianas/transmisión , RecurrenciaRESUMEN
We report the first case of neonatal septicaemia and meningitis in Trinidad due to Listeria three days after blood transfusion. It is important to be aware of the organism in foods and patients. Modern methods of isolation and identification will be of invaluable assistance in future recognition of the organism.
Asunto(s)
Bacteriemia/microbiología , Listeriosis/microbiología , Meningitis Bacterianas/microbiología , Reacción a la Transfusión , Bacteriemia/diagnóstico , Bacteriemia/transmisión , Femenino , Humanos , Recién Nacido , Listeriosis/diagnóstico , Listeriosis/transmisión , Meningitis Bacterianas/diagnóstico , Meningitis Bacterianas/transmisión , Trinidad y TobagoRESUMEN
The objective of this 3-year (1988-1990) retrospective study was to report the experience with neonatal meningitis at the Neonatal Intensive Care Unit, Mount Hope Women's Hospital, Trinidad, West Indies. Neonates were included in the study if organisms were cultured from the cerebrospinal fluid (CSF) and/or if there was a pleocytosis (> or = 100/mm3) in the CSF. There were 49 neonates with meningitis out of a total of 17,048 live born (LB) infants during the 3-year period to give an overall incidence of 2.87/1000 LB. This was five times higher than the incidence reported in the literature. There were an additional five who were outborns to give a total of 54 cases. There were 34 males (63 per cent) with a mean birth weight of 2389 g. Antenatal risk factors included preterm delivery (50 per cent), prolonged rupture of the amniotic membranes (37 per cent). Associated maternal conditions included hypertension and antepartum haemorrhage (9 per cent). In contrast to other reported studies, there was early onset of the condition (mean age at presentation was 4 days) and the commonest organism found was Group B streptococcus while the least common were the Gram-negative organisms. Also different in the present study was the high percentage (56 per cent) of meningitis associated with Group B septicaemia, the low mortality rate (13) and the low rate of neurological sequelae (40 per cent).
Asunto(s)
Meningitis Bacterianas/epidemiología , Femenino , Humanos , Recién Nacido , Masculino , Meningitis Bacterianas/líquido cefalorraquídeo , Meningitis Bacterianas/complicaciones , Meningitis Bacterianas/transmisión , Embarazo , Complicaciones Infecciosas del Embarazo , Estudios Retrospectivos , Factores de Riesgo , Sepsis/complicaciones , Streptococcus agalactiae/aislamiento & purificación , Trinidad y Tobago/epidemiologíaRESUMEN
The objective of this 3-year (1988-1990) retrospective study was to report the experience with neonatal meningitis at the Neonatal Intensive Care Unit, Mount hope women's Hospital, Trinidad, West Indies. Neonates were included in the study if organisms were cultured from the cerebrospinal fluid (CSF) and/or if there was a pleocytosis (greater than or equal to 100/mm to 3rd power) in the CSF. There were 49 neonates with meningitis out of a total of 17048 live born (LB) infants during the 3-year period to give an overall incidence of 2.87/1000 LB. This was five times higher than the incidence reported in the literature. there were an additional five who were outborns to give a total of 54 cases. There were 34 males (63 per cent), prolonged rupture of the amniotic membranes (37 per cent). Associated maternal conditions included hypertension and antepartum haemorrhage (9 per cent). In contrast to other reported studies, there was early onset of the condition (mean age at presentation was 4 days) and the commonest organism found was Group B streptococcus while the least common were the Gram-negative organisms. Also different in the present study was the high percentage (56 per cent) of meningitis associated with Group B septicaemia, the low mortality rate (13) and the low rate of neurological sequelae (40 per cent)