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Neonatal Meningitis

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Towards accurate exclusion of neonatal bacterial meningitis: a feasibility study of a novel 16S rDNA PCR assay.

Arthur Abelian, Thomas Mund, Martin D Curran, Stuart A Savill, Nipa Mitra, Carol Charan, Amanda L Ogilvy-Stuart, Hugh R B Pelham, Paul H Dear,

BACKGROUND:PCRctic is an innovative assay based on 16S rDNA PCR technology that has been designed to detect a single intact bacterium in a specimen of cerebro-spinal fluid (CSF). The assay's potential for accurate, fast and inexpensive discrimination of bacteria-free CSF makes it an ideal adjunct for confident exclusion of bacterial ... Read more >>

BMC Infect. Dis. (BMC Infectious Diseases)
[2020, 20(1):441]

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Neonatal bacterial meningitis versus ventriculitis: a cohort-based overview of clinical characteristics, microbiology and imaging.

Thomas Peros, Joost van Schuppen, Anneloes Bohte, Caspar Hodiamont, Eleonora Aronica, Timo de Haan,

Central nervous system (CNS) infections are potentially life threatening in neonates and can lead to the ill-defined diagnosis of ventriculitis. With this study we aimed to explore and describe ventriculitis regarding clinical, microbiological and ultrasonographic characteristics. We performed a retrospective cohort study including all neonates with a culture-proven CNS infection ... Read more >>

Eur. J. Pediatr. (European Journal of Pediatrics)
[2020, :]

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Early neonatal sepsis and meningitis caused by Elizabethkingia meningoseptica in Saudi Arabia.

Ashwaq I Barnawi, Faisal N Kordy, Ohoud K Almuwallad, Khloud A Kassarah,

Elizabethkingia meningoseptica (E. meningoseptica ) are Gram-negative bacteria commonly associated with nosocomial infections in neonates. This is a case study of E. meningoseptica, presented as meningitis and sepsis in a term baby. The female infant was born by vaginal delivery at 37 weeks gestational age. The case was peculiar because ... Read more >>

Saudi Med J (Saudi medical journal)
[2020, 41(7):753-756]

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Staphylococcal meningitis therapy with linezolid in a young infant: efficacy, CSF levels and side effects.

Cinzia Auriti, Fiammetta Piersigilli, Iliana Bersani, Sara Cairoli, Paolina Giuseppina Amante, Daniela Longo, Bianca Maria Goffredo,

BACKGROUND:Linezolid is a synthetic antibiotic which is active against most Gram-positive bacteria, especially on Staphylococcus aureus. Its administration can be required when the infection is due to staphylococcus strains, which are resistant to vancomycin. Although mostly well tolerated, some mild to moderate side effects have been reported. CASE PRESENTATION:This case ... Read more >>

Ital J Pediatr (Italian journal of pediatrics)
[2020, 46(1):90]

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Aetiology of bacterial meningitis in infants aged <90 days: Prospective surveillance in Luanda, Angola.

Tuula Pelkonen, Suvi Urtti, Elizabete Dos Anjos, Ondina Cardoso, Linda de Gouveia, Irmeli Roine, Heikki Peltola, Anne von Gottberg, Moe H Kyaw,

BACKGROUND:Despite effective antibiotics and vaccines, bacterial meningitis (BM) remains one of the leading causes of morbidity and mortality in young infants worldwide. Data from Africa on the aetiology and antibiotic susceptibility are scarce. OBJECTIVE:To describe the aetiology of BM in Angolan infants <90 days of age. METHODS:A prospective, observational, single-site ... Read more >>

Int. J. Infect. Dis. (International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases)
[2020, 97:251-257]

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Towards accurate exclusion of neonatal bacterial meningitis: a feasibility study of a novel 16S rDNA PCR assay.

Arthur Abelian, Thomas Mund, Martin Curran, Stuart Savill, Nipa Mitra, Carol Charan, Amanda Ogilvy-Stuart, Hugh Pelham, Paul Dear,

Abstract Background: PCRctic is an innovative assay based on 16S rDNA PCR technology that has been designed to detect a single intact bacterium in a specimen of cerebro-spinal fluid (CSF). The assay’s potential for accurate, fast and inexpensive discrimination of bacteria-free CSF makes it an ideal adjunct for confident exclusion ... Read more >>

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First Case of Ewingella americana Meningitis in a Term Newborn: A Rare but Real Pathogen.

Sarah Meisler, Ranjith Kamity, Asif Noor, Leonard Krilov, Caterina Tiozzo,

Ewingella americana is a Gram-negative, catalase positive and anaerobic enterobacterium first described in 1983. Infections caused by this pathogen, such as bacteremia and pneumonia, are extremely rare and primarily occur in patients with underlying pathologies or immunosuppression. There is still a debate as to whether Ewingella americana is a real ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:308]

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Polymorphonuclear Leukocyte Transendothelial Migration Proceeds at Blood-Brain Barrier in Neonatal Meningitis.

Zhuo Niu, Yu-Hua Chen, Ke Zhang,

Neonatal bacterial meningitis remains a life-threatening and causative sequelae disease in newborns, despite the effective usage of antibiotics and improved critical medical care. Polymorphonuclear leukocyte (PMN) transendothelial migration across the blood-brain barrier, one of the three hallmarks of bacterial meningitis, now is considered as a "double-edge sword". When participating in ... Read more >>

Front Microbiol (Frontiers in Microbiology)
[2020, 11:969]

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Identification of Group B Streptococcus Serotypes and Genotypes in Late Pregnant Women and Neonates That Are Associated With Neonatal Early-Onset Infection in a South China Population.

Zhu Yao, Wu Jiayin, Zheng Xinyi, Chen Ling, He Mingyuan, Ma Simin, Lin Yayin, Lin Xinzhu, Chen Chao,

Background: Group B streptococcus (GBS) colonized in late pregnancies has been associated with neonatal early-onset GBS disease (GBS-EOD) in China. Objective: This study investigated if GBS serotype and genotype in late pregnancy is associated with GBS-EOD, providing a reference for GBS-EOD prevention and treatment. Methods: A total of 298 pregnant ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:265]

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Maternal-Fetal Perinatal Transmission of Staphylococcal Infections: A Report of Two Neonates.

V Thadchanamoorthy, Kavinda Dayasiri,

Staphylococcal infection in terms of fetus is rare and is associated with either maternal staphylococcal sepsis or colonization that leads to vertical transmission. Antenatal invasive procedures are a recognized risk factor. Most reported newborns with fetal-onset staphylococcal infections have had a worse outcome. We report the story of two newborns ... Read more >>

Case Rep Pediatr (Case reports in pediatrics)
[2020, 2020:8886049]

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Meningitis and bacteremia by nonhemolytic Group B Streptococcus strain: a whole genome analysis.

Akihiko Shimizu, Hiroyuki Tsukagoshi, Tsuyoshi Sekizuka, Makoto Kuroda, Aya Koizumi, Masahiro Fujita, Yoshiyuki Yamada, Nobuhiro Saruki,

Group B streptococcus (GBS) is a leading cause of neonatal infections. Most isolates are β-hemolytic, and their activity is considered to be pivotal for GBS pathogenicity. We report a case of a neonate with meningitis caused by nonhemolytic GBS. The patient developed meningitis 3 days after birth. We performed genotyping ... Read more >>

Microbiol. Immunol. (Microbiology and immunology)
[2020, :]

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Neonatal Sepsis.

Ilkay Ozmeral Odabasi, Ali Bulbul,

Neonatal sepsis is associated with severe morbidity and mortality in the neonatal period. Clinical manifestations range from subclinical infection to severe local or systemic infection. Neonatal sepsis is divided into three groups as early-onset neonatal sepsis, late-onset neonatal sepsis and very late-onset neonatal sepsis according to the time of the ... Read more >>

Sisli Etfal Hastan Tip Bul (Sisli Etfal Hastanesi tip bulteni)
[2020, 54(2):142-158]

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Neonatal ventriculitis: a case series and review of literature.

Ramitha R Bhat, Prerna Batra, Ravi Sachan, Gurbachan Singh,

Ventriculitis after meningitis is a serious complication in the neonatal age group. The role of intraventricular antibiotics in treatment is controversial. We present five such cases which were refractory to conventional intravenous antibiotic therapy, had persistent features of ventriculitis and in whom raised intracranial pressure (ICP) necessitated insertion of an ... Read more >>

Trop Doct (Tropical doctor)
[2020, :49475520927626]

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Pan-GWAS of Streptococcus agalactiae Highlights Lineage-Specific Genes Associated with Virulence and Niche Adaptation.

Andrea Gori, Odile B Harrison, Ethwako Mlia, Yo Nishihara, Jia Mun Chan, Jacquline Msefula, Macpherson Mallewa, Queen Dube, Todd D Swarthout, Angela H Nobbs, Martin C J Maiden, Neil French, Robert S Heyderman,

Streptococcus agalactiae (group B streptococcus; GBS) is a colonizer of the gastrointestinal and urogenital tracts, and an opportunistic pathogen of infants and adults. The worldwide population of GBS is characterized by clonal complexes (CCs) with different invasive potentials. CC17, for example, is a hypervirulent lineage commonly associated with neonatal sepsis ... Read more >>

mBio (mBio)
[2020, 11(3):]

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Neonates Hospitalized with Community-Acquired SARS-CoV-2 in a Colorado Neonatal Intensive Care Unit.

Alicia White, Priya Mukherjee, Jane Stremming, Laura G Sherlock, Regina M Reynolds, Danielle Smith, Edwin J Asturias, Theresa R Grover, Robert M Dietz,

IMPORTANCE:The novel coronavirus 2019 (SARS-CoV-2) has been well described in adults. Further, the impact on older children and during the perinatal time is becoming better studied. As community spread increases, it is important to recognize that neonates are vulnerable to community spread as well. The impact that community-acquired SARS-CoV-2 has ... Read more >>

Neonatology (Neonatology)
[2020, :1-5]

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Etiology, clinical findings and laboratory parameters in neonates with acute bacterial meningitis.

Hassan Boskabadi, Elahe Heidari, Maryam Zakerihamidi,

Background and Objectives:Neonatal meningitis is one of the most important and serious neonatal infections with a high mortality and morbidity rate. The present study aimed to investigate the causes, clinical signs, laboratory parameters and mortality rates in newborns with bacterial meningitis. Materials and Methods:This cross-sectional study was performed on 468 ... Read more >>

Iran J Microbiol (Iranian journal of microbiology)
[2020, 12(2):89-97]

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Increasing incidence of group B streptococcus neonatal infections in the Netherlands is associated with clonal expansion of CC17 and CC23.

Dorota Jamrozy, Merijn W Bijlsma, Marcus C de Goffau, Diederik van de Beek, Taco W Kuijpers, Julian Parkhill, Arie van der Ende, Stephen D Bentley,

Group B streptococcus (GBS) is the leading cause of neonatal invasive disease worldwide. In the Netherlands incidence of the disease increased despite implementation of preventive guidelines. We describe a genomic analysis of 1345 GBS isolates from neonatal (age 0-89 days) invasive infections in the Netherlands reported between 1987 and 2016. ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):9539]

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Probiotic Use and Safety in the Neonatal Intensive Care Unit: A Matched Cohort Study.

Keyaria D Gray, Julia A Messina, Christopher Cortina, Tanasha Owens, Madeline Fowler, Matthew Foster, Simi Gbadegesin, Reese H Clark, Daniel K Benjamin, Kanecia O Zimmerman, Rachel G Greenberg,

OBJECTIVE:To determine the prevalence of probiotic administration in infants born preterm over time, as well as the association between probiotic administration and select adverse outcomes. STUDY DESIGN:We performed a multicenter cohort study of infants 23-29 weeks of gestational age admitted to 289 neonatal intensive care units from 1997 to 2016. We evaluated ... Read more >>

J. Pediatr. (The Journal of pediatrics)
[2020, 222:59-64.e1]

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A novel electron transfer flavoprotein dehydrogenase (ETFDH) gene mutation identified in a newborn with glutaric acidemia type II: a case report of a Chinese family.

Mingcai Ou, Lin Zhu, Yong Zhang, Yaguo Zhang, Jingyao Zhou, Yu Zhang, Xuelian Chen, Lijuan Yang, Ting Li, Xingyue Su, Qi Hu, Wenjun Wang,

BACKGROUND:Glutaric acidemia type II (GA II) or multiple acyl-CoA dehydrogenase deficiency (MADD, OMIM 231680) is an inherited autosomal recessive disease affecting fatty acid, amino acid and choline metabolism, due to mutations in one of three genes namely, electron transfer flavoprotein alpha-subunit, ETFA, electron transfer flavoprotein β-subunit, ETFB and electron transfer ... Read more >>

BMC Med. Genet. (BMC medical genetics)
[2020, 21(1):98]

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Targeting E. coli invasion of the blood-brain barrier for investigating the pathogenesis and therapeutic development of E. coli meningitis.

Ningyu Zhu, Wei Liu, Atish Prakash, Chengxian Zhang, Kwang Sik Kim,

Escherichia coli is the most common Gram-negative bacillary organism causing neonatal meningitis. E. coli meningitis remains an important cause of mortality and morbidity, but the pathogenesis of E. coli penetration of the blood-brain barrier remains incompletely understood. E. coli entry into the brain occurs in the meningeal and cortex capillaries, ... Read more >>

Cell. Microbiol. (Cellular microbiology)
[2020, :]

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Human Herpesvirus 6 Detection during the Evaluation of Sepsis in Infants Using the FilmArray Meningitis/Encephalitis Panel.

Keerti L Dantuluri, Katherine C Konvinse, Jennifer Crook, Isaac P Thomsen, Ritu Banerjee,

We used the FilmArray meningitis/encephalitis panel for evaluation of sepsis in febrile neonates. We detected human herpesvirus 6, a virus we did not routinely test for previously, in the cerebrospinal fluid of 7 neonates. In all 7 cases, detection of the virus did not warrant antiviral treatment. ... Read more >>

J. Pediatr. (The Journal of pediatrics)
[2020, :]

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Streptococcus agalactiae in childbearing age immigrant women in Comunitat Valenciana (Spain).

José Miguel Sahuquillo-Arce, Alicia Hernández-Cabezas, María Jesús Castaño-Aroca, Rabab Chouman-Arcas, Estefanía Díaz-Aguirre, Beatriz Acosta-Boga, José Luis López-Hontangas,

Streptococcus agalactiae (GBS) remains the leading cause of meningitis and neonatal sepsis in the world, and causes disease in pregnant and puerperal women. This is a retrospective study of GBS infections on women of childbearing age living in Comunitat Valenciana, Spain (years 2009-2014) and GBS colonization rate on pregnant women ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):9904]

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Human Herpesvirus-6 Meningitis in a Premature Infant with Fevers: A Case and Literature Review.

Faith Kim, Victoria Reichman, Thomas A Hooven,

Human herpesvirus-6 (HHV-6) is a common virus that can cause nearly universal infection in infancy and early childhood. It typically manifests as an acute febrile illness. We describe a case of a premature infant with congenital hydrocephalus secondary to aqueductal stenosis with a ventriculoperitoneal shunt in place who developed intermittent ... Read more >>

Clin Med Insights Case Rep (Clinical Medicine Insights. Case Reports)
[2020, 13:1179547620912952]

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CARE GIVERS EXPERIENCES OF HAVING A CHILD WITH HYDROCEPHALUS: A PHENOMENOLOGICAL STUDY AT RUHARO MISSION HOSPITAL

Racheal Kyarimpa, Dan Muramuzi, Talbert Muhwezi,

Background: Hydrocephalus is a long-term neurologic condition, normally identified in early childhood, where there is excessive fluid in the ventricular system within the brain which results into enlargement of the head to an abnormal size. The most common cause of hydrocephalus in most patient population is infection (over 60%) typically ... Read more >>

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Anita Zaidi.

Tony Kirby,

Lancet Infect Dis (The Lancet. Infectious Diseases)
[2020, 20(7):789]

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