Meningitis due to methicillin-resistant Staphylococcus lentus associated with ventriculoperitoneal shunt in a young infant

Main Article Content

Ricardo Hernandez Sarmiento
Martha Álvarez Olmos
Sara Aguilera Martínez

Abstract

Background: Bacterial meningitis is a disease with a high morbidity worldwide, being aneurological  emergency in which a diagnosis and timely treatment reduce the complications related to mortality. Staphylococcus lentus is a gram positive, coagulase negative, commensal bacterium that colonizes the skin of certain animal species, especially food producers, causing an infection very rarely in humans.
Clinical case: We present the case of a minor infant who underwent a ventriculoperitoneal shunt due to congenital hydrocephalus, which presented an alteration in the state of consciousness due to a convulsive state in which meningitis and bacteraemia due to methicillin-resistant Staphylococcus lentus was confirmed, for which 21 days of antibiotics were completed, with discharge after 36 days of hospitalization.
Conclusion: The bacterial meningitis is a disease with a high mortality in the pediatric population, so it needs a timely multidisciplinary intervention, as well as empirical antibiotic according to local epidemiology and paraclinics to establish the infectious etiology

Downloads

Download data is not yet available.

Article Details

How to Cite
Hernandez Sarmiento, R., Álvarez Olmos, M., & Aguilera Martínez, S. (2019). Meningitis due to methicillin-resistant Staphylococcus lentus associated with ventriculoperitoneal shunt in a young infant. Pediatría, 52(3), 118–121. https://doi.org/10.14295/p.v52i3.132
Section
Case report

References

Figueiredo AHA, Brouwer MC, van de Beek D. Acute CommunityAcquired Bacterial Meningitis. Neurol Clin. 2018;36(4):809-20.

Kim KS. Acute bacterial meningitis in infants and children. Lancet Infect Dis. 2010;10(1):32-42.

Swanson D. Meningitis. Pediatr Rev. 2015;36(12):514-24.

González S, Carbonaro M, Fedullo AG, Sormani I, Ceinos C, González R, et al. Infecciones asociadas a sistemas de derivación de líquido cefalorraquídeo en pediatría: análisis epidemiológico y de factores de riesgo de mortalidad. Arch Argent Pediatr. 2018;116(3):198-203.

Stepanović S, Dakić I, Martel A, Vaneechoutte M, Morrison D, Shittu A, et al. A comparative evaluation of phenotypic and molecular methods in the identification of members of the Staphylococcus sciuri group. Syst Appl Microbiol. 2005;28(4):353

Schwendener S, Perreten V. New MLS B resistance gene erm(43) in Staphylococcus lentus. Antimicrob Agents Chemother. 2012;56(9):4746-52.

Alnakip ME, Quintela-Baluja M, Böhme K, Caamaño-Antelo S, Bayoumi MA, Kamal RM, et al. Molecular characterisation and typing the methicillin resistance of Staphylococcus spp. isolated from raw milk and cheeses in northwest Spain: A mini survey. Int Dairy J. 2019;89:68-76.

Posadas E, Fisher J. Pediatric Bacterial Meningitis: An Update on Early Identification and Management. Pediatr Emerg Med Pr. 2018;15(11):1-20.

Jarousha AM, Afifi AA. Epidemiology and Risk Factors Associated with Developing Bacterial Meningitis among Children in Gaza Strip. Iran J Publ Heal. 2014;43(9):1176-83.

Tunkel AR, Hasbun R, Bhimraj A, Byers K, Kaplan SL, Scheld WM, et al. 2017 Infectious Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis*. Clin Infect Dis. 2017;64(6):e34-65.

Jiménez-Mejías M, García-Cabrera E. Infecciones relacionadas con los sistemas de drenaje de líquido cefalorraquídeo. Enferm Infecc Microbiol Clin. 2008;26(4):240-51.

Romero MV, León AR, Carreón JM, Romero FI. Factores de riesgo de infección del sistema de derivación ventriculoperitoneal en pacientes pediátricos. Enf Inf Microbiol. 2013;34(2):59-63.

Rowensztein H, Manfrin L, Paglia M, Cong TL, Ruvinsky S, Scrigni A. Características del líquido cefalorraquídeo en niños con infecciones del sistema de derivación ventrículoperitoneal. Arch Argent Pediatr. 2015;113(3):244-6.

Rivera M, Dominguez M, Rodríguez N, Ruiz G, Querera C. Staphylococcus lentus peritonitis: A case report. Perit Dial Int. 2014;34(4):469-70.

Schwendener S, Perreten V. New MLSB Resistance Gene erm(43) in Staphylococcus lentus. Antimicrob Agents Chemother. 2012;56(9):4746-52.

Most read articles by the same author(s)

Similar Articles

<< < 1 2 3 4 5 6 

You may also start an advanced similarity search for this article.