Bacteroides fragilis concealed in an infant with Escherichia coli meningitis. (9th October 2013)

• Record Type: Journal Article
• Authors: Ganeshalingham, Anusha; Buckley, David; Shaw, Ian; Freeman, Joshua T; Wilson, Francessa; Best, Emma
• Is Part Of: Journal of paediatrics and child health. Volume 50:Number 1(2014:Jan.)
• Page Start: 78
• Page End: 80
• Publication Date: 2013-10-09
• Subjects: Children -- Health and hygiene -- Periodicals; Pediatrics -- Periodicals; 618.92
• DOI: 10.1111/jpc.12394
• Languages: English
• ISSNs: 1034-4810

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <p>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 <italic>Escherichia coli</italic> 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.</p> </abstract>