Abstract
Enterococcal infections though seen in neonates are rarity in healthy pediatric population. Patients with head injury, neurosurgery and enteric infections are predisposed for above infections. It is an unusual agent for meningitis in a healthy child. We report one such experience in a two month old healthy female infant who presented acutely with fever and cough of one day duration. She was admitted as acute respiratory infection but developed status epilepticus. Post stabilization a Lumbar puncture done showed features of bacterial meningitis while MRI brain showed bilateral subdural effusion. CSF culture grew enterococci sensitive to vancomycin, amikacin and linezolid. She was given appropriate antibiotics for four weeks. She did not require any surgery and recovered completely.
Highlights
Enterococci are gram positive cocci found normally in the bowel flora and ubiquitously
Another study by Koorevaar et al [3] of 450 episodes of bacterial meningitis in children over a nine year period (1981-1989), either enterococci or streptococcus viridans together accounted for only nine cases
We report one case of enterococcal meningitis with bilateral subdural effusion in a healthy young female infant which responded to conservative treatment
Summary
Enterococci are gram positive cocci found normally in the bowel flora and ubiquitously. Meningitis and respiratory infections are extremely rare [1]. Stevenson and colleagues found only four cases of enterococal meningitis among 493 episodes of bacterial meningitis in adults [2]. Another study by Koorevaar et al [3] of 450 episodes of bacterial meningitis in children over a nine year period (1981-1989), either enterococci or streptococcus viridans together accounted for only nine cases.
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