title: [Neonatal meningitis caused by Alcaligenes xylosoxydans].
abstract: BACKGROUND
  Neonatal meningitis due to Alcaligenes xylosoxydans is exceptional; its diagnosis and treatment may be difficult.
  
  
  METHODS
  A neonate born at 42 weeks of GA to a mother who worked as a nurse in an intensive care unit was admitted on day 2 for a severe infection. Her cerebrospinal (CSF) contained 1,970 white cell/mm3, polymorphonuclear in majority: direct examination failed to show any germ but the CSF and blood cultures were positive for Alcaligenes xylosoxydans, a strain that was resistant to the initially given antibiotics. The patient was given piperacillin, 300 mg/kg/d for 21 days and completely cured with a follow-up of 6 months.
  
  
  CONCLUSIONS
  This case shows that lombar puncture can be necessary in evaluating early neonatal sepsis; it also shows usefulness of piperacillin in some cases.
authors.affiliation: Service de médecine néonatale, centre hospitalier du Havre, Le Havre, France.
authors.forename: H
authors.initials: H
authors.lastname: Bruel
authors.forename: J P
authors.initials: JP
authors.lastname: Chabrolle
authors.forename: G
authors.initials: G
authors.lastname: Pinon
authors.forename: J
authors.initials: J
authors.lastname: Poinsot
mesh_terms: D000421:Alcaligenes; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D010406:Penicillins / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D013129:Spinal Puncture
chemical_list: D010406:Penicillins; D010878:Piperacillin