[Complicating neonatal Escherichia coli meningitis].

Abstract:

:Neonatal Escherichia coli meningitis is a serious disease with high mortality and poor outcome. Ventriculitis, brain abscess and subdural empyema are frequent, with no homogeneous recommendations available for these complications. The case of a newborn infant who developed sepsis and meningitis caused by E. coli is presented. During intravenous treatment with ampicillin, cefotaxime and gentamycin in recommended doses, the patient developed severe subdural abscesses detected on MRI. After consequent antibiotic therapy over 2 months with fosfomycin, amikacin and meropenem the patient improved clinically and the abscesses regressed and disappeared without neurosurgical intervention. At the age of 6.5 months the infant is healthy and well developed. The conservative treatment of subdural abscesses complicating neonatal Escherichia coli meningitis without neurosurgical intervention is possible. The treatment of the individual case should be discussed between pediatrician and neurosurgeon.

authors

Sonntag J,Kaczmarek D,Brinkmann G,Kammler G,Hellwege HH

doi

10.1055/s-2004-815521

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

32-5

issue

1

eissn

0948-2393

issn

1439-1651

journal_volume

208

pub_type

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