A Berardi, L Lugli, C Rossi, M C China, G Vellani, R Contiero, F Calanca, F Camerlo, F Casula, C Di Carlo, M R Rossi, R Chiarabini, M Ferrari, S Minniti, C Venturelli, D Silvestrini, I Dodi, A Zucchini, F Ferrari
Neonatal bacterial meningitis (NM) continues to be a serious disease with an unchanging rate of adverse outcome of 20-60%, despite a worldwide decline in mortality. The 3 major pathogens in developed countries are: Group B streptococcus, gram negative rods and Lysteria monocytogenes. Signs and symptoms of NM may be subtle, unspecific, vague, atypical or absent. In order to exclude NM, all infants with proven or suspected sepsis should undergo lumbar puncture. Positive culture of cerebrospinal fluid may be the only way to diagnose NM and to identify the pathogen, as CSF parameters Smay be normal at early stages and NM may occur frequently (up to 30% of cases) in the absence of bacteraemia...
June 2010: Minerva Pediatrica