Kali A, Kalaivani R, Charles Pmv, Seetha K S
Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
Indian J Med Microbiol. 2016 Oct-Dec;34(4):544-547. doi: 10.4103/0255-0857.195383.
Neonatal meningitis is a lethal infection occurring in the 1st month of life. The risk of developing permanent neurological sequels is high among the neonates who survive. Bacterial pathogens are commonly associated with this condition. Aeromonas is a Gram-negative bacteria of aquatic habitat. Although isolation of Aeromonas species from neonates with blood stream infection is infrequently reported, neonatal meningitis caused by Aeromonas is exceedingly rare. We present a case of fulminant sepsis and meningitis caused by Aeromonas hydrophila in a preterm newborn male. The bacteria was isolated in culture from blood and cerebrospinal fluid. In spite of targeted antibiotics and supportive therapy, the baby failed to respond and died on the 12th day of life.
新生儿脑膜炎是一种发生在出生后第1个月的致命感染。在存活的新生儿中,发生永久性神经后遗症的风险很高。细菌病原体通常与这种情况有关。气单胞菌是一种栖息于水生环境的革兰氏阴性菌。虽然从患有血流感染的新生儿中分离出气单胞菌属的情况鲜有报道,但由气单胞菌引起的新生儿脑膜炎极为罕见。我们报告一例由嗜水气单胞菌引起的暴发性败血症和脑膜炎病例,患儿为早产男婴。该细菌在血液和脑脊液培养中被分离出来。尽管进行了针对性的抗生素治疗和支持治疗,但患儿没有反应,在出生后第12天死亡。