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[Neonatal meningitis. Study of 26 cases and a review of its sequelae after 5 years]
A Cervantes Pardo1, M C Tauler Girona, C López Soler
1Secciones de Neuropediatría y Psicología, Hospital Infantil Virgen de la Arrixaca, Murcia.
Insights
Neonatal bacterial meningitis is linked to long-term neuropsychological deficits in children, including issues with attention and learning. Lymphocytic meningitis, however, shows better developmental outcomes.
Area of Science:
- Neonatal care
- Pediatric neurology
- Infectious diseases
Context:
- Study of 26 term newborns with neonatal meningitis.
- Analysis of incidence, etiology, treatment, clinical course, and mortality.
- Focus on long-term neurodevelopmental outcomes.
Purpose:
- To investigate the relationship between neonatal meningitis and psychomotor growth deficits at 4 and 6 years of age.
- To compare outcomes between bacterial and lymphocytic meningitis.
- To identify specific neuropsychological deficits associated with neonatal meningitis.
Summary:
- Bacterial neonatal meningitis is associated with significant neuropsychological deficits, including hyperkinesia and reading-writing disorders.
- Children with bacterial meningitis showed impaired psychomotor development compared to those with lymphocytic meningitis.
- Lymphocytic meningitis cases demonstrated a generally good neurodevelopmental evolution.
Impact:
- Highlights the critical need for early diagnosis and intervention in neonatal meningitis.
- Emphasizes the long-term consequences of bacterial meningitis on child development.
- Informs clinical practice regarding prognosis and follow-up for affected newborns.
Abstract:
Twenty-six cases of neonatal meningitis in term newborns are studied. Incidence, etiological features, treatment, clinical and biochemical evolution and mortality are analysed. Lief motif of this paper is the search for deficits in psychomotor growth in propositi of four and six years old, finding an important relation between neonatal bacterial meningitis and neuropsychological deficits (hyperkinesia, perceptive area impairment, reading-writing disorders, etc.) in contrast to the good evolution of lymphocytic meningitis.