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Bacteroides fragilis concealed in an infant with Escherichia coli meningitis |
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| Authors: | Anusha Ganeshalingham David Buckley Ian Shaw Joshua T Freeman Francessa Wilson Emma Best |
| Affiliation: | 1. Paediatric Intensive Care Unit, Starship Children's Hospital, , Auckland, New Zealand;2. Department of Paediatrics, Southland Hospital, , Invercargill, New Zealand;3. LabPlus, Auckland City Hospital, , Auckland, New Zealand;4. Radiology Department, Starship Hospital, , Auckland, New Zealand;5. Department of Paediatrics, University of Auckland, , Auckland, New Zealand |
| Abstract: | Anaerobic meningitis in infants is rare, therefore a high index of clinical suspicion is essential as routine methods for processing cerebrospinal fluid (CSF) do not detect anaerobes and specific antimicrobial therapy is required. We present an infant with Escherichia coli meningitis where treatment‐resistance developed in association with culture negative purulent CSF. These features should have alerted us to the presence of anaerobes, prompting a search for the causes of polymicrobial meningitis in infants. |
| Keywords: | anaerobe Bacteroides fragilis currarino syndrome meningitis polymicrobial infection |