A Case of Enterococcal Meningitis in a Healthy Infant

Hebbar, Shrikiran and Upadyaya, S (2004) A Case of Enterococcal Meningitis in a Healthy Infant. The Internet Journal of Infectious Diseases, 4 (2). pp. 1-3.

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Abstract

Enterococci are becoming increasingly recognized as important causes of both community acquired and nosocomial infections in children and adults. Compared to adults, enterococcal infections occur less frequently in children beyond neonatal period. Enterococci are unusual etiological agents for meningitis. In children when it occurs, predisposing factors are usually present .We report our experience with a case of enterococcal meningitis in a healthy 7 month old infant who did not present with any predisposing factors. A seven month old boy at presentation had high grade fever, mild cough, and two episodes of loose stools. Urine microscopy showed 10-12 white blood cells/high power field. He was started on intravenous antibiotics provisionally for an underlying urosepsis. However, over the next three days his condition worsened and he developed seizures. C.T. scan of the head showed bilateral subdural effusions. C.S.F. culture grew enterococci sensitive to vancomycin. He was treated with vancomycin and the child recovered completely without any sequel.

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