netilmicin and Pneumococcal-Infections

The most common organisms in neonatal meningitis are group B streptococcus and Gram negative enteric bacteriae. Although Neisseria meningitidis, Haemophilus influenzae and Streptococcus pneumoniae are the most frequent causes of meningitis in infancy and childhood, they are uncommon in newborns. We report one case of neonatal meningitis and maternal septicemia.

Topics: Ampicillin; Female; Gentamicins; Humans; Infant, Newborn; Infectious Disease Transmission, Vertical; Meningitis, Pneumococcal; Netilmicin; Penicillins; Pneumococcal Infections; Puerperal Infection; Sepsis; Serotyping; Streptococcus pneumoniae

A 20-year-old primigravida in the 33rd week of gestation was delivered of a girl weighing 1,790 g 23 h after spontaneous rupture of the membranes. 13 h after birth, the child showed signs of shock. Cultures of blood, conjunctiva and nasopharyngeal aspirate grew Streptococcus pneumoniae of serotype 11. Cultures from the mother's cervix and from the placenta and membranes also grew S. pneumoniae of the same serotype. The infant responded well to ampicillin and netilmicin. The early-onset pneumococcal septicemic cases reported over the last 20 years are reviewed.

Topics: Adult; Ampicillin; Cervix Uteri; Female; Humans; Infant, Newborn; Netilmicin; Placenta; Pneumococcal Infections; Pregnancy; Risk Factors; Sepsis; Serotyping; Streptococcus pneumoniae

Topics: Adolescent; Ear Canal; Female; Gastric Juice; Humans; Infant, Newborn; Netilmicin; Penicillin G; Pneumococcal Infections; Pregnancy; Vagina