Table of Contents

HK J Paediatr (New Series)
Vol 12. No. 4, 2007

HK J Paediatr (New Series) 2007;12:293-296

Case Report

Bacillus Cereus Meningoencephalitis in a Neonate

S Puvabanditsin, A Zaafran, E Garrow, R Diwan, D Mehta, N Phattraprayoon


Neonatal meningoencephalitis caused by Bacillus cereus is rare. In most cases, the infection is fatal because of extensive damage and necrosis of infected tissue caused by the toxins produced by B. cereus. We report on a 17-day-old preterm neonate who developed B. cereus bacteraemia and severe haemorrhagic meningoencephalitis. The infant survived. The ultrasound, CT and MRI images showed pattern of haemorrhagic and early cavitating, selective white matter destruction. The interval from the time of recognition of illness to irreversible damage of the central nervous system was short which demonstrates a need for increase awareness, early diagnosis, and more-effective therapy. We describe the clinical course and a distinct neuroimaging characteristic for this organism.

Keyword : Bacillus cereus; Meningoencephalitis; Neonate; White matter injury

Abstract in Chinese


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