title: Bacteroides fragilis concealed in an infant with Escherichia coli meningitis.
abstract: Anaerobic meningitis in infants is rare, therefore a high index of clinical suspicion is essential as routine methods for processing cerebrospinal fluid (CSF) do not detect anaerobes and specific antimicrobial therapy is required. We present an infant with Escherichia coli meningitis where treatment-resistance developed in association with culture negative purulent CSF. These features should have alerted us to the presence of anaerobes, prompting a search for the causes of polymicrobial meningitis in infants.
authors.affiliation: Paediatric Intensive Care Unit, Starship Children's Hospital, Auckland, New Zealand.
authors.forename: Anusha
authors.initials: A
authors.lastname: Ganeshalingham
authors.forename: David
authors.initials: D
authors.lastname: Buckley
authors.forename: Ian
authors.initials: I
authors.lastname: Shaw
authors.forename: Joshua T
authors.initials: JT
authors.lastname: Freeman
authors.forename: Francessa
authors.initials: F
authors.lastname: Wilson
authors.forename: Emma
authors.initials: E
authors.lastname: Best
mesh_terms: D001442:Bacteroides Infections / Q000150:complications / Q000175:diagnosis*; D001441:Bacteroides fragilis / Q000302:isolation & purification*; D060085:Coinfection / Q000175:diagnosis*; D004926:Escherichia coli / Q000302:isolation & purification; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis*; D020814:Meningitis, Escherichia coli / Q000150:complications*
keywords: Bacteroides fragilis; anaerobe; currarino syndrome; meningitis; polymicrobial infection