1/5. Bacterial meningitis of an infant with Currarino triad.Currarino triad is a rarely hereditary condition including: (1) an anorectal malformation, (2) an anterior sacral defect, and (3) a presacral mass. Autosomal dominant transmission is suggested. We reported one case of Currarino triad, who was a 3-month-old male with sacral dysgenesis, imperforated anus and enteric cyst. This case presented with acute lower limbs paralysis due to bacterial meningitis complicated with acute arachnoiditis. The diagnosis of this condition led to a work-up of his sibling, who was found to have an incomplete type. The purpose of this case is to emphasize that a high index of suspicion for timely diagnosis and treatment of Currarino triad could prevent devastating complications.- - - - - - - - - - ranking = 1keywords = transmission (Clic here for more details about this article) |
2/5. bacillus cereus meningitis in two neurosurgical patients: an investigation into the source of the organism.Two patients developed bacillus cereus meningitis following neurosurgery. During the subsequent investigation into the source of the organism, linen was discovered to be heavily contaminated with B. cereus. No other prolific source of the organism was found. It seems probable that lint from contaminated fabric was the vehicle of transmission of the organism during extended surgery. Linen should be considered as a possible source of B. cereus infection.- - - - - - - - - - ranking = 1keywords = transmission (Clic here for more details about this article) |
3/5. Outbreak of late-onset group B streptococcal infections in healthy newborn infants after discharge from a maternity hospital: a case report.During a four-week period, four healthy term newborn infants born at a regional maternity hospital in korea developed late-onset neonatal group B Streptococcus (GBS) infections, after being discharged from the same nursery. More than 10 days after their discharge, all of the infants developed fever, lethargy, and poor feeding behavior, and were subsequently admitted to the korea University Medical Center, Ansan Hospital. GBS was isolated from the blood cultures of three babies; furthermore, GBS was isolated from 2 cerebral spinal fluid cultures. Three babies had meningitis, and GBS was isolated from their cerebral spinal fluid cultures. This outbreak was believed to reflect delayed infection after early colonization, originating from nosocomial sources within the hospital environment. This report underlines the necessity for Korean obstetricians and pediatricians to be aware of the risk of nosocomial transmissions of GBS infection in the delivery room and/or the nursery.- - - - - - - - - - ranking = 1keywords = transmission (Clic here for more details about this article) |
4/5. Successful transplantation of organs retrieved from donors with bacterial meningitis.BACKGROUND: The shortage of organs for transplantation is the most important factor limiting the number of transplants performed. Consequently, in recent years, criteria for considering a patient as a potential organ donor have been broadened. methods: From 1995 through 1996, we have retrieved organs from five donors who were brain dead because of bacterial meningitis. The causative microorganisms were neisseria meningitidis in one patient, streptococcus pneumoniae in three patients, and escherichia coli in one patient. Fifteen organs were retrieved and transplanted into 16 recipients. All the donors and recipients received adequate antibiotic therapy. RESULTS: None of the recipients developed infectious complications caused by the meningeal pathogens. After a follow-up ranging from 4 to 30 months, 12 patients are alive with functioning grafts. The cause of death was noninfectious in the four patients who died. CONCLUSIONS: Our study demonstrates that patients with brain death caused by bacterial meningitis due to meningococci, pneumococci, or E coli may be suitable organ donors. transplantation of organs from such donors does not increase the risk of infection transmission to the recipient, provided that both donor and recipient had received adequate antibiotic therapy.- - - - - - - - - - ranking = 1keywords = transmission (Clic here for more details about this article) |
5/5. salmonella meningitis in children in far north queensland.Seven cases of salmonella meningitis have occurred in infants in Far North queensland since 1982. The mean age of onset was 2.8 months, and at least five of the cases were caused by salmonella virchow. Five of the cases had significant complications during the acute illness: all required prolonged (median 34 days) inpatient management, and four developed permanent neurological sequelae. S. virchow is the serovar most frequently isolated from infants in Far North queensland. The source of S. virchow infections in these infants remains uncertain, but transmission may occur through cross-infection and person-to-person transmission in the home.- - - - - - - - - - ranking = 2keywords = transmission (Clic here for more details about this article) |