Neonatal Pneumococcal Meningitis: Report of Three Cases



F.Z. Dyabi1, 2, *, F. Bennaoui1, 2, N. El Idrissi Slitine1, 2, N. Soraa3, F.M.R Maoulainine1, 2
1 Neonatal intensive care unit, University Hospital Mohamed VI, Marrakesh, Morocco
2 Childhood, Health and Development Research Team, Cadi Ayyad University, Marrakesh, Morocco
3 Department of Microbiology, University Hospital Mohamed VI, Marrakesh, Morocco

Abstract

The neonatal pneumococcal meningitis is rare and has a high mortality rate and severe psychomotor and neurosensory retardation.

We report three cases of pneumococcal meningitis in the Neonatal Intensive Care Unit, Mohamed VI University Hospital in Marrakesh. The clinical presentation is variable and atypical, meningitis was revealed by neonatal respiratory distress in two patients, the fever associated with the refusal to suck was found in one newborn. One of the three newborns got complicated with ventriculitis. The cephalo-rachidian fluid culture allowed the identification of the germ in three cases. Third generation Céphalosporines was the treatment of choice and was associated with ciprofloxacin and Vancomycin for one patient. The progress was favorable in all cases. Our patients had an early onset infection, and so the community-acquired pneumococcal infection was not probable but cannot be not ruled out.Meningitis with Streptococcus pneunomiae is rare in newborns and hasno clinical specificity compared with the other germs, the prognosis depends on an early and adapted care.

Keywords: Neonatal pneumococcal meningitis, Streptococcus pneunomiae, Respiratory distress .


Abstract Information


Identifiers and Pagination:

Year: 2019
Volume: 11
Publisher Item Identifier: EA-TOIDJ-2019-4

Article History:

Received Date: 13/03/2019
Revision Received Date: 04/07/2019
Acceptance Date: 11/07/2019
Electronic publication date: 23/08/2019
Collection year: 2019

© 2019 Dyabi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Neonatal intensive care unit, University Hospital Mohamed VI, Marrakesh, Morocco; Tel: 0676583977 ;
E-mail: dyabi.fatimaezzahra@gmail.com