1. Aseptic meningitis in neonatal varicella complicated by Escherichia coli sepsis.
- Author
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Serenella#Pignotti, Maria, Giuseppe Indolfi, Messineo, Antonio, and Donzelli, Gianpaolo
- Subjects
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MENINGITIS in children , *CESAREAN section , *APGAR score , *BACTERIAL diseases , *VARICELLA-zoster virus , *ELECTROENCEPHALOGRAPHY - Abstract
The article describes a case study of a 10 day old infant who was suffering from aseptic meningitis. A 3420 g male neonate was delivered by caesarean section at 36 weeks after spontaneous rupture of the membranes. Apgar score was 91-95. The infant, who was lethargic, irritable, hypotonic and had a temperature imbalance, required 40% oxygen administration. Electroencephalograms showed inconstant interhemispheric asymmetry and a cerebral ultrasound failed to reveal any specific abnormalities. Ampicillin, gentamicin, acyclovir and varicella zoster virus specific antibodies were administered. The case demonstrates that the correct diagnosis of aseptic meningitis may be extremely difficult in new-borns with bacterial superinfection.
- Published
- 2004
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