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Listeria meningitis presenting as enteritis in a previously healthy infant: a case report
M A Edelbroek1, J J De Nef, J R Rajnherc
1Department of Paediatrics, Spaarne Ziiekenuis, Haarland, The Netherlands.
Abstract:
A previously healthy 1-year-old infant was admitted with pyrexia and mild gastro-intestinal symptoms. A blood culture, taken on admission, showed growth of Listeria monocytogenes (serotype 4b) on the 3rd day, at which time a lumbar puncture revealed a listeric meningitis. Despite the delay of antibiotic treatment, the infant never showed any neurological symptoms. She recuperated without any residual effects.
Insights
A previously healthy infant recovered fully from Listeria monocytogenes meningitis, despite delayed antibiotic treatment. This case highlights potential for favorable outcomes even with delayed intervention in pediatric Listeria infections.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Listeria monocytogenes is a significant cause of meningitis in infants.
- Early diagnosis and prompt antibiotic treatment are crucial for favorable outcomes.
Observation:
- A 1-year-old infant presented with fever and gastro-intestinal symptoms.
- Blood cultures identified Listeria monocytogenes (serotype 4b).
- Meningitis was confirmed via lumbar puncture on the 3rd day.
Findings:
- Despite delayed antibiotic administration, the infant remained neurologically asymptomatic.
- The infant experienced a complete recovery without any long-term sequelae.
Implications:
- This case suggests that some infants may tolerate delayed treatment for Listeria meningitis without neurological deficits.
- Further research is warranted to understand factors influencing neurological outcomes in pediatric Listeria meningitis.
- Highlights the importance of vigilant monitoring and individualized treatment approaches.