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Fulminant citrobacter meningitis with multiple periventricular abscesses in a three-month-old infant

P Anoop1, M A Anjay, Johny Vincent

  • 1Institute of Maternal and Child Health, Medical College, Calicut, Kerala, India. dranoopp@rediffmail.com

The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases
|November 26, 2003
PubMed

Insights

Citrobacter diversus meningitis is rare in infants beyond the neonatal period. This case highlights severe complications like hydrocephalus and brain abscesses, even with treatment, leading to a fatal outcome.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Pediatric Neurology

Background:

  • Citrobacter species are Gram-negative enteric bacilli.
  • Citrobacter infections, particularly septicemia and meningitis, are uncommon outside the neonatal period.
  • These infections often present with severe clinical courses and complications.

Observation:

  • A three-month-old infant developed Citrobacter meningitis.
  • The infant experienced acute communicating hydrocephalus.
  • Multiple periventricular brain abscesses formed during antibiotic treatment.

Findings:

  • Citrobacter diversus caused meningitis in an infant.
  • Despite intensive antibiotic therapy, the infant's condition progressed.
  • The patient developed severe neurological complications including hydrocephalus and brain abscesses.

Implications:

  • This case underscores the potential severity of Citrobacter meningitis in infants.
  • It highlights the challenges in treating invasive Citrobacter infections.
  • Early recognition and aggressive management are crucial for potential better outcomes in rare pediatric meningitis cases.

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