title: Neonatal meningoventriculitis due to proteus mirabilis - a case report.
abstract: A five day old full term born baby was admitted to our Neonatal Intensive Care Unit with seizures, opisthotonous posture and was icteric upto thigh. Baby had a three day history of poor feeding, lethargy and abnormal body movements. Mother was a 29 years old primigravida and had a normal vaginal delivery at home. Sepsis profile of the patient was requested, lumbar puncture and ventricular tap was performed. Patient was put on third generation cephalosporins, aminoglycosides and phenobarbitone. Culture and sensitivity report of blood, Cerebro spinal fluid and ventricular fluid showed Proteus mirabilis. Computerized Tomography scan showed a large parenchymal lesion in the right frontal lobe and diffuse ependymal enhancement along both the lateral ventricles suggestive of meningoventriculitis. We hereby present a fatal case of neonatal meningoventriculitis due to Proteus mirabilis.
authors.affiliation: Senior Demonstrator, Department of Microbiology & Immunology.
authors.forename: Deepak
authors.initials: D
authors.lastname: Juyal
authors.forename: Vyas Kumar
authors.initials: VK
authors.lastname: Rathaur
authors.forename: Neelam
authors.initials: N
authors.lastname: Sharma
keywords: Cerebral abscess; Meningitis; Meningoventriculitis; Proteus mirabilis
references.citation: Eur J Pediatr. 2003 Sep;162(9):644-5
references.pmid: 12836017
references.citation: J Infect. 1984 Sep;9(2):177-84
references.pmid: 6438242
references.citation: N Engl J Med. 1971 Jan 21;284(3):115-21
references.pmid: 5538678
references.citation: Eur J Pediatr. 1989 Jun;148(7):646-7
references.pmid: 2663517
references.citation: Arch Dis Child. 1980 Apr;55(4):308-10
references.pmid: 6998382
references.citation: Cases J. 2008 Aug 18;1(1):108
references.pmid: 18710558
references.citation: Am J Dis Child. 1992 May;146(5):567-71
references.pmid: 1621658
references.citation: J Pediatr. 1993 Jan;122(1):15-21
references.pmid: 8419603
references.citation: Childs Nerv Syst. 1994 Apr;10(3):185-9
references.pmid: 8044816
references.citation: Scand J Infect Dis. 1994;26(4):361-7
references.pmid: 7984964
references.citation: J Antimicrob Chemother. 2000 Apr;45(4):537-9
references.pmid: 10747835
references.citation: Turk J Pediatr. 1998 Jan-Mar;40(1):17-33
references.pmid: 9722468
references.citation: J Microbiol Immunol Infect. 2000 Jun;33(2):100-4
references.pmid: 10917879
references.citation: APMIS. 1992 Aug;100(8):734-6
references.pmid: 1520485