Neisseria Meningitidis Causing Multiple Cerebral Abscesses in Early Neonatal Period: Case Report and Review of

Laxman Basani1, Roja Aepala2

  • 1Neonatologist and Director Newborn Care Centre, Dolphin Children's Hospital, Hyderabad, Telangana, India.

Insights

Neisseria meningitidis rarely causes meningitis in newborns. This case highlights a rare instance of neonatal meningococcal meningitis with multiple cerebral abscesses and hydrocephalus, requiring a Ventriculo Peritoneal shunt.

Area of Science:

  • Neonatal Medicine
  • Infectious Diseases
  • Neurology

Background:

  • Neisseria meningitidis is an uncommon cause of meningitis and septicemia in neonates.
  • Published case reports of neonatal meningococcal meningitis complicated by subdural empyema, cerebral abscess, and hydrocephalus are scarce.

Observation:

  • This report details a rare case of meningococcal meningitis in a neonate presenting on the fifth day of life.
  • The infant subsequently developed hydrocephalus at five weeks of age, necessitating a Ventriculo Peritoneal (VP) shunt.

Findings:

  • The neonate presented with multiple cerebral abscesses, a complication not previously documented in early neonatal meningococcal meningitis.
  • This represents the first documented case of neonatal meningococcal meningitis with multiple cerebral abscesses.

Implications:

  • This case underscores the potential for severe intracranial complications of Neisseria meningitidis in neonates.
  • Highlights the importance of early recognition and management of neonatal meningitis and its associated neurological sequelae.

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