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Archives de pédiatrie
Volume 14, n° 4
pages 365-368 (avril 2007)
Doi : 10.1016/j.arcped.2007.01.009
Received : 24 Mars 2006 ;  accepted : 22 January 2007
Méningite néonatale à Bacillus cereus , à propos d'un cas
A case of fatal neonatal Bacillus cereus meningitis

F. Evreux a , B. Delaporte b, N. Leret b, C. Buffet-Janvresse a, c, , A. Morel a
a Département de microbiologie, groupe hospitalier du Havre, hôpital Jacques-Monod, 76083 Le Havre cedex, France 
b Réanimation pédiatrique, groupe hospitalier du Havre, hôpital Jacques-Monod, 76083 Le Havre cedex, France 
c Département de microbiologie, faculté de médecine, CHU de Rouen, hôpital Charles-Nicolle, 76031 Rouen cedex France 

Auteur correspondant.

Nous présentons un cas de méningoencéphalite à Bacillus cereus , survenu au 28e jour de vie chez un enfant prématuré. Une recherche dans la littérature faite en 2005-2006 nous a permis de relever 26 cas de méningites à B. cereus du nouveau-né. Leur analyse est décrite. Dans tous les cas, un diagnostic précoce est très important car il doit obligatoirement s'accompagner d'une prescription de vancomycine.

The full text of this article is available in PDF format.

A fatal case of meningoencephalitis caused by Bacillus cereus , an uncommon but potential pathogen, resistant to most β-lactam antibiotics, is described in a 28-day old premature neonate. Difficulties for clinical diagnosis and treatment are discussed. A review of the literature (26 published cases) is given. Early diagnosis of neonatal B. cereus infection is crucial as it leads to a standard treatment including vancomycin.

The full text of this article is available in PDF format.

Mots clés : Méningite, Nouveau-né

Keywords : Gram positive bacterial infections, Meningitis, Bacillus cereus , Infant

© 2007  Elsevier Masson SAS. All Rights Reserved.
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