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
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.
* Address correspondence to this author at the Neonatal intensive care unit, University Hospital Mohamed VI, Marrakesh, Morocco; Tel: 0676583977 ;