Meningitis neonatal por Enterococcus faecalis

Revista del Laboratorio Clínico Pub Date : 2018-04-01 DOI:10.1016/j.labcli.2017.11.007

Laura Correa Martínez , Cristina Eugenia Gaona Álvarez , María Pierna Álvarez , Raquel de la Fuente del Río , Carmen González Velasco , Beatriz Sacristán Enciso

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引用次数: 1

Abstract

Enterococcal meningitis is a very rare clinical entity, accounting for 0.3-4% of bacterial meningitis, with Enterococcus faecalis (E. faecalis) being the most common isolated species. There are risk factors for its development in newborns, such as maternal intrapartum fever, chorioamnionitis, prematurity, or previous intestinal resection.

The aim of this article is to describe a case of meningitis associated with early sepsis caused by E. faecalis in a newborn with fever, irritability, and in a poor general condition at 24 hours of birth, coinciding with normal cytochemical parameters in cerebrospinal fluid.

The clinical and analytical findings suggested an infectious process, which was confirmed by the isolation of E. faecalis in cerebrospinal fluid. The patient outcome was favourable after treatment with ampicillin and gentamicin. The epidemiological history suggested a vertical transmission.

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脑膜炎新生儿贫粪肠球菌

肠球菌性脑膜炎是一种非常罕见的临床疾病，占细菌性脑膜炎的0.3% -4%，其中粪肠球菌(E. faecalis)是最常见的分离种。新生儿发生此病有危险因素，如产妇产时发热、绒毛膜羊膜炎、早产或既往肠切除术。本文的目的是描述一例由粪肠球菌引起的脑膜炎与早期败血症相关的病例，新生儿在出生24小时时伴有发热、易怒和一般情况不佳，脑脊液细胞化学参数正常。临床和分析结果提示感染过程，脑脊液中分离到粪肠球菌证实了这一点。经氨苄西林和庆大霉素治疗后，患者预后良好。流行病学史提示垂直传播。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista del Laboratorio Clínico

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