Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review
Hassan Al-shehri Department of Pediatrics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Hassan Al-shehri, Department of Pediatrics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Uthman Ibn Affan Road, an Nada, Riyadh, Saudi Ara...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-12-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/late-onset-meningitis-in-a-preterm-infant-caused-by-streptococcus-gall-peer-reviewed-fulltext-article-IMCRJ |
| _version_ | 1797405704556904448 |
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| author | Al-shehri H |
| author_facet | Al-shehri H |
| author_sort | Al-shehri H |
| collection | DOAJ |
| description | Hassan Al-shehri Department of Pediatrics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Hassan Al-shehri, Department of Pediatrics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Uthman Ibn Affan Road, an Nada, Riyadh, Saudi Arabia, Email haalshehri@imamu.edu.saAbstract: This report describes the progression of meningitis in a 24-day-old preterm male infant infected with Streptococcus gallolyticus subsp. pasteurianus (SGSP) and its medical care, pathogen detection, antibiotic treatment, and monitoring, ultimately leading to a positive outcome of successful recovery. Neonatal meningitis (NM) is a serious and potentially life-threatening condition, particularly in immunocompromised preterm infants. This report from Saudi Arabia presents a rare case of late-onset neonatal meningitis caused by SGSP in a preterm male infant. The 24-day-old preterm neonate presented with fever, lethargy, poor feeding, and respiratory distress. SGSP was confirmed by cerebral spinal fluid analysis showing the presence of pleocytosis and a low glucose ratio. Prompt antibiotic therapy with intravenous Ampicillin and Cefotaxime led to decreased pleocytosis, and the infant was discharged after 21 days. This report highlights the importance of vigilance, diagnosis, and management of neonatal infections caused by uncommon pathogens such as SGSP. The rarity of SGSP-caused meningitis emphasizes the need to monitor pregnant women for potential transmission and to implement early diagnostic and management strategies. This case report also encompasses a review of recent globally reported cases of neonatal S. gallolyticus infection, highlighting the distinctiveness of this report as the first of its type in Saudi Arabia.Keywords: Streptococcus gallolyticus subsp. pasteurianus, neonate, meningitis, late-onset |
| first_indexed | 2024-03-09T03:15:00Z |
| format | Article |
| id | doaj.art-716806a0098b4322b058cc5d896b7421 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-03-09T03:15:00Z |
| publishDate | 2023-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-716806a0098b4322b058cc5d896b74212023-12-03T18:07:37ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2023-12-01Volume 1679780688643Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature ReviewAl-shehri HHassan Al-shehri Department of Pediatrics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Hassan Al-shehri, Department of Pediatrics, College of Medicine, Imam Mohammed Ibn Saud Islamic University, Uthman Ibn Affan Road, an Nada, Riyadh, Saudi Arabia, Email haalshehri@imamu.edu.saAbstract: This report describes the progression of meningitis in a 24-day-old preterm male infant infected with Streptococcus gallolyticus subsp. pasteurianus (SGSP) and its medical care, pathogen detection, antibiotic treatment, and monitoring, ultimately leading to a positive outcome of successful recovery. Neonatal meningitis (NM) is a serious and potentially life-threatening condition, particularly in immunocompromised preterm infants. This report from Saudi Arabia presents a rare case of late-onset neonatal meningitis caused by SGSP in a preterm male infant. The 24-day-old preterm neonate presented with fever, lethargy, poor feeding, and respiratory distress. SGSP was confirmed by cerebral spinal fluid analysis showing the presence of pleocytosis and a low glucose ratio. Prompt antibiotic therapy with intravenous Ampicillin and Cefotaxime led to decreased pleocytosis, and the infant was discharged after 21 days. This report highlights the importance of vigilance, diagnosis, and management of neonatal infections caused by uncommon pathogens such as SGSP. The rarity of SGSP-caused meningitis emphasizes the need to monitor pregnant women for potential transmission and to implement early diagnostic and management strategies. This case report also encompasses a review of recent globally reported cases of neonatal S. gallolyticus infection, highlighting the distinctiveness of this report as the first of its type in Saudi Arabia.Keywords: Streptococcus gallolyticus subsp. pasteurianus, neonate, meningitis, late-onsethttps://www.dovepress.com/late-onset-meningitis-in-a-preterm-infant-caused-by-streptococcus-gall-peer-reviewed-fulltext-article-IMCRJstreptococcus gallolyticus subsp. pasteurianusneonatemeningitislate-onset |
| spellingShingle | Al-shehri H Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review International Medical Case Reports Journal streptococcus gallolyticus subsp. pasteurianus neonate meningitis late-onset |
| title | Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review |
| title_full | Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review |
| title_fullStr | Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review |
| title_full_unstemmed | Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review |
| title_short | Late-Onset Meningitis in a Preterm Infant Caused by Streptococcus gallolyticus Subsp. Pasteurianus in Saudi Arabia: A Case Report and Literature Review |
| title_sort | late onset meningitis in a preterm infant caused by streptococcus gallolyticus subsp pasteurianus in saudi arabia a case report and literature review |
| topic | streptococcus gallolyticus subsp. pasteurianus neonate meningitis late-onset |
| url | https://www.dovepress.com/late-onset-meningitis-in-a-preterm-infant-caused-by-streptococcus-gall-peer-reviewed-fulltext-article-IMCRJ |
| work_keys_str_mv | AT alshehrih lateonsetmeningitisinapreterminfantcausedbystreptococcusgallolyticussubsppasteurianusinsaudiarabiaacasereportandliteraturereview |