[Neonatal meningitis caused by atypical Streptococcus pneumoniae: case report and review].
Streptococcus pneumoniae is a rarely recognized cause of neonatal sepsis and/or meningitis, but it is associated with substantial morbidity and mortality. Traditionally, S. pneumoniae is identified in the laboratory by demonstrating susceptibility to optochin. However, the emergence of optochin-resistant organisms makes definite identification difficult when only phenotypic tests are taken as markers. We present the case of a severe early-onset neonatal meningitis due to an atypical strain of S. pneumoniae. Laboratory methods utilized to certify this species diagnosis are discussed.
Silva B
Verónica
V
Servicio de Neonatología, Hospital Parroquial San Bernardo, Santiago, Chile. vsblanch@gmail.com
Castillo F
Felipe
F
O Reilly F
Paula
P
Araya B
Isabel
I
Porte T
Lorena
L
Ulloa F
M Teresa
MT
Varela A
Carmen
C
Zamorano R
Juanita
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002439:Cefotaxime / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008586:Meningitis, Pneumococcal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D002439:Cefotaxime