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Войти в исследования IDCases · 2017
Recurrence of Escherichia coli meningitis in a preterm infant and co-infection of echovirus 18.
СтатьяКлинический случайНазвание и аннотация: Перевод пока не подготовлен
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Kato Kentaro, Mizumoto Hiroshi, Matsubara Kousaku, Hata Atsuko, Wachino Jun-Ichi, Arakawa Yoshichika, Hata Daisuke
Аннотация
INTRODUCTION: Bacterial meningitis may relapse after adequate antibiotic treatment. In most cases, however, the pathophysiology cannot be identified.
PRESENTATION OF CASE: We describe a preterm infant with recurrent episodes of meningitis due to infection with an identical Escherichia coli strain both at birth and at 10 days after cessation of a 3 week course of appropriate antibiotic treatment. At the time of recurrence, the patient presented with fulminant severe cardiac failure due to acute myocarditis, coupled with a concurrent echovirus 18 infection (confirmed by stool culture and serological analysis).
CONCLUSION: Co-infection by echovirus may underlie recurrence of Escherichia coli meningitis in this case.
PRESENTATION OF CASE: We describe a preterm infant with recurrent episodes of meningitis due to infection with an identical Escherichia coli strain both at birth and at 10 days after cessation of a 3 week course of appropriate antibiotic treatment. At the time of recurrence, the patient presented with fulminant severe cardiac failure due to acute myocarditis, coupled with a concurrent echovirus 18 infection (confirmed by stool culture and serological analysis).
CONCLUSION: Co-infection by echovirus may underlie recurrence of Escherichia coli meningitis in this case.