Case Reports

An unusual case of neonatal meningococcal meningitis complicated by subdural empyema and hydrocephalus

Y Ramsamy, P Mahabeer, M Archary, R A Bobat, Y M Coovadia

Abstract


Neisseria meningitidis is a leading cause of pyogenic meningitis worldwide, as well as causing large epidemics in parts of Africa. With the dramatic decline in cases of Haemophilus influenzae B, N. meningitidis has emerged as one of the most common causes of acute bacterial meningitis in children and adults in South Africa. However, it remains an uncommon cause of meningitis in the neonatal period. Subdural empyema together with hydrocephalus has been infrequently described as a complication of meningococcal meningitis.

We report a rare case of neonatal meningococcal meningitis, complicated by subdural empyema and hydrocephalus. To the best of our knowledge only a few cases of neonatal meningococcal meningitis have been reported from South Africa, with none of these cases having the complication of subdural empyema.

Authors' affiliations

Y Ramsamy, National Health Laboratory Services and Department of Medical Microbiology, University of KwaZulu-Natal, Durban

P Mahabeer, National Health Laboratory Services and Department of Medical Microbiology, University of KwaZulu-Natal, Durban

M Archary, Department of Paediatrics, University of KwaZulu-Natal, Durban

R A Bobat, Department of Paediatrics, University of KwaZulu-Natal, Durban

Y M Coovadia, National Health Laboratory Services and Department of Medical Microbiology, University of KwaZulu-Natal, Durban

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Keywords

Neisseria Meningitidis , subdural Empyema ,Neonates

Cite this article

South African Journal of Child Health 2013;7(1):35-37. DOI:10.7196/SAJCH.483

Article History

Date submitted: 2012-07-10
Date published: 2013-01-22

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