[Complicating neonatal Escherichia coli meningitis]. / Subdurale gekammerte Abszesse nach neonataler Colimeningitis - Fallbericht über eine erfolgreiche konservative Therapie -
Z Geburtshilfe Neonatol
; 208(1): 32-5, 2004 Feb.
Article
en De
| MEDLINE
| ID: mdl-15039890
Neonatal Escherichia coli meningitis is a serious disease with high mortality and poor outcome. Ventriculitis, brain abscess and subdural empyema are frequent, with no homogeneous recommendations available for these complications. The case of a newborn infant who developed sepsis and meningitis caused by E. coli is presented. During intravenous treatment with ampicillin, cefotaxime and gentamycin in recommended doses, the patient developed severe subdural abscesses detected on MRI. After consequent antibiotic therapy over 2 months with fosfomycin, amikacin and meropenem the patient improved clinically and the abscesses regressed and disappeared without neurosurgical intervention. At the age of 6.5 months the infant is healthy and well developed. The conservative treatment of subdural abscesses complicating neonatal Escherichia coli meningitis without neurosurgical intervention is possible. The treatment of the individual case should be discussed between pediatrician and neurosurgeon.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Empiema Subdural
/
Meningitis por Escherichia coli
/
Quimioterapia Combinada
/
Infecciones por Escherichia coli
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Female
/
Humans
/
Newborn
Idioma:
De
Revista:
Z Geburtshilfe Neonatol
Asunto de la revista:
PERINATOLOGIA
Año:
2004
Tipo del documento:
Article
Pais de publicación:
Alemania