Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso
OBJECTIVE: To report a full-term newborn infant that developed a sepsis associated to meningitis caused by Neisseria meningitidis serogroup C on the 14th day of life. CASE DESCRIPTION: The patient was a term female infant, born to a mother with Systemic Lupus Erythematosus, with birth weight of 2,61...
Published in: | Revista do Instituto de Medicina Tropical de São Paulo |
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Universidade de São Paulo (USP)
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Online Access: | https://doi.org/10.1590/S0036-46652007000300010 https://doaj.org/article/4b40dab9f26542a789ff451e1d610927 |
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ftdoajarticles:oai:doaj.org/article:4b40dab9f26542a789ff451e1d610927 2024-09-09T19:28:27+00:00 Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso Mário Cícero Falcão Samantha Brasil de Andrade Maria Esther Jurfest Rivero Ceccon Flávio Adolfo Costa Vaz 2007-06-01T00:00:00Z https://doi.org/10.1590/S0036-46652007000300010 https://doaj.org/article/4b40dab9f26542a789ff451e1d610927 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652007000300010 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46652007000300010 0036-4665 1678-9946 https://doaj.org/article/4b40dab9f26542a789ff451e1d610927 Revista do Instituto de Medicina Tropical de São Paulo, Vol 49, Iss 3, Pp 191-194 (2007) Meningitis Sepsis Neisseria meningitidis Infant Newborn Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2007 ftdoajarticles https://doi.org/10.1590/S0036-46652007000300010 2024-08-05T17:49:31Z OBJECTIVE: To report a full-term newborn infant that developed a sepsis associated to meningitis caused by Neisseria meningitidis serogroup C on the 14th day of life. CASE DESCRIPTION: The patient was a term female infant, born to a mother with Systemic Lupus Erythematosus, with birth weight of 2,610g, Apgar Score 1, 4 and 8, who needed mechanical ventilation for 24 hours. On the 7th day of life, the neonate was discharged from the hospital with good overall condition. On the 15th day of life, the newborn infant presented fever and respiratory failure. The cerebrospinal fluid showed 1042 cells/mm³, with neutrophilic predominance, protein of 435 mg/dL, and glucose < 10 mg/dL. The blood and the cerebrospinal fluid cultures were positive for Neisseria meningitidis serogroup C. The neonate was hospitalized, needing mechanical ventilation and vasoactive drugs, and received 21 days of crystalline penicillin. After hospital discharge, there were no signs of neurological sequels and the infant was able to be breastfed. The case report presents a unique situation: an uncommon etiology of neonatal meningitis and favorable evolution, despite neurological sequels reported in the literature. This report emphasizes the need to prevent the premature exposure of newborn infants to pathological agents, especially if they presented birth injuries and/or are preterm, due to their lack of immunological capacity. OBJETIVO: Relatar o caso de um recém-nascido de termo que apresentou no 14º dia de vida sepse associada à meningite, cujo agente etiológico foi a Neisseria meningitidis sorotipo C. DESCRIÇÃO DO CASO: recém-nascido de termo, cuja mãe é portadora de lupus eritematoso sistêmico, feminino, peso de nascimento de 2610g, Escala de Apgar 1, 4 e 8, sendo intubado e ventilado por 24 horas. Recebeu alta no 7º dia de vida em boas condições. No 15º dia de vida apresentou febre e desconforto respiratório. O líquido cefalorraquidiano mostrou 1042 células/mm³, com predomínio de neutrófilos, proteinorraquia de 435 mg/dL ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Alta Revista do Instituto de Medicina Tropical de São Paulo 49 3 191 194 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Meningitis Sepsis Neisseria meningitidis Infant Newborn Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Meningitis Sepsis Neisseria meningitidis Infant Newborn Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Mário Cícero Falcão Samantha Brasil de Andrade Maria Esther Jurfest Rivero Ceccon Flávio Adolfo Costa Vaz Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso |
topic_facet |
Meningitis Sepsis Neisseria meningitidis Infant Newborn Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
OBJECTIVE: To report a full-term newborn infant that developed a sepsis associated to meningitis caused by Neisseria meningitidis serogroup C on the 14th day of life. CASE DESCRIPTION: The patient was a term female infant, born to a mother with Systemic Lupus Erythematosus, with birth weight of 2,610g, Apgar Score 1, 4 and 8, who needed mechanical ventilation for 24 hours. On the 7th day of life, the neonate was discharged from the hospital with good overall condition. On the 15th day of life, the newborn infant presented fever and respiratory failure. The cerebrospinal fluid showed 1042 cells/mm³, with neutrophilic predominance, protein of 435 mg/dL, and glucose < 10 mg/dL. The blood and the cerebrospinal fluid cultures were positive for Neisseria meningitidis serogroup C. The neonate was hospitalized, needing mechanical ventilation and vasoactive drugs, and received 21 days of crystalline penicillin. After hospital discharge, there were no signs of neurological sequels and the infant was able to be breastfed. The case report presents a unique situation: an uncommon etiology of neonatal meningitis and favorable evolution, despite neurological sequels reported in the literature. This report emphasizes the need to prevent the premature exposure of newborn infants to pathological agents, especially if they presented birth injuries and/or are preterm, due to their lack of immunological capacity. OBJETIVO: Relatar o caso de um recém-nascido de termo que apresentou no 14º dia de vida sepse associada à meningite, cujo agente etiológico foi a Neisseria meningitidis sorotipo C. DESCRIÇÃO DO CASO: recém-nascido de termo, cuja mãe é portadora de lupus eritematoso sistêmico, feminino, peso de nascimento de 2610g, Escala de Apgar 1, 4 e 8, sendo intubado e ventilado por 24 horas. Recebeu alta no 7º dia de vida em boas condições. No 15º dia de vida apresentou febre e desconforto respiratório. O líquido cefalorraquidiano mostrou 1042 células/mm³, com predomínio de neutrófilos, proteinorraquia de 435 mg/dL ... |
format |
Article in Journal/Newspaper |
author |
Mário Cícero Falcão Samantha Brasil de Andrade Maria Esther Jurfest Rivero Ceccon Flávio Adolfo Costa Vaz |
author_facet |
Mário Cícero Falcão Samantha Brasil de Andrade Maria Esther Jurfest Rivero Ceccon Flávio Adolfo Costa Vaz |
author_sort |
Mário Cícero Falcão |
title |
Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso |
title_short |
Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso |
title_full |
Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso |
title_fullStr |
Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso |
title_full_unstemmed |
Neonatal sepsis and meningitis caused by Neisseria meningitidis: a case report Sepse e meningite neonatal por Neisseria meningitidis: relato de caso |
title_sort |
neonatal sepsis and meningitis caused by neisseria meningitidis: a case report sepse e meningite neonatal por neisseria meningitidis: relato de caso |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2007 |
url |
https://doi.org/10.1590/S0036-46652007000300010 https://doaj.org/article/4b40dab9f26542a789ff451e1d610927 |
geographic |
Arctic Alta |
geographic_facet |
Arctic Alta |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 49, Iss 3, Pp 191-194 (2007) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652007000300010 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46652007000300010 0036-4665 1678-9946 https://doaj.org/article/4b40dab9f26542a789ff451e1d610927 |
op_doi |
https://doi.org/10.1590/S0036-46652007000300010 |
container_title |
Revista do Instituto de Medicina Tropical de São Paulo |
container_volume |
49 |
container_issue |
3 |
container_start_page |
191 |
op_container_end_page |
194 |
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1809897760704430080 |