Community-acquired Acinetobacter baumannii meningitis in a previously healthy 14-month-old boy.
We report a previously healthy 14-month-old boy who developed community-acquired Acinetobacter baumannii meningitis. He had no history of immunodeficiency, and was brought to Konan Kosei Hospital with a high fever and vomiting. His consciousness was clear, but neck stiffness was noted. Examination of the cerebrospinal fluid (CSF) revealed a cell count of 10 112/microl; protein, 216 mg/dl; and glucose, 9 mg/dl. A CSF test kit for bacterial capsular antigens (Pastorex Meningitis; Bio-Rad Laboratories) was positive for Haemophilus influenzae type b antigen. On day 3 of admission, the microorganism isolated by CSF culture was identified as A. baumannii. Therefore, his treatment was changed to meropenem hydrate from the initial therapy with panipenem/betamipron and ceftriaxone sodium hydrate. Because the CSF cell count remained elevated, meropenem hydrate was administered for a total of 19 days. The meningitis resolved with no sequelae.
Department of Pediatrics, Konan Kosei Hospital, 137 Ohmatsubara, Takaya-cho, Konan, Aichi 483-8704, Japan. takao-oz@konan.jaaikosei.or.jp
Takao
T
Ozaki
Naoko
N
Nishimura
Yasuko
Y
Arakawa
Michio
M
Suzuki
Atsushi
A
Narita
Yasuto
Y
Yamamoto
Norio
N
Koyama
Kazumasa
K
Nakane
Naoko
N
Yasuda
Keiji
K
Funahashi
D000151:Acinetobacter Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000276:immunology / Q000302:isolation & purification*; D000942:Antigens, Bacterial / Q000276:immunology; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D003429:Cross Reactions; D019741:Haemophilus influenzae type b / Q000276:immunology / Q000302:isolation & purification; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
D000942:Antigens, Bacterial