Neonatal citrobacter meningitis

Citrobacter koseri meningitis in a special care baby unit.

“…Of these three cases, two died and one was left with residual neurological damage. This pattern of severe clinical illnesses is similar to that found by other authors (Gross et al, 1973;Gwynn and George, 1973;Duhamel et al, 1975;Tamborlane and Soto, 1975). By examining specimens from children seen in the outpatient clinic and who had been discharged from the unit before the birth of the first clinical case we were able to show that the organism had been present among the babies on the ward for some time previously.…”

“…The occurrence of a small number of cases of meningitis due to Citrobacter koseri (syn C. diversus, Levinea malonatica) has been reported (Gross et al, 1973;Gwynn and George, 1973;Duhamel et al, 1975;Tamborlane and Soto, 1975). All the cases have occurred in young babies, mostly in the first two weeks of life, and the babies have nearly all been premature.…”

“…All the cases have occurred in young babies, mostly in the first two weeks of life, and the babies have nearly all been premature. Of the 11 cases described, eight have occurred in two outbreaks in premature or special care baby units (Gross et al, 1973;Gwynn and George, 1973). In both these outbreaks the cases occurred over long periods of time, six and nine months respectively.…”

Sonography of Brain Abscesses Complicating Citrobacter Neonatal Meningitis

“…1>3 ' 4 The clinical signs that suggest these problems usually are subtle and include decreased responsiveness, seizure activity, and increasing head size. CT was the first noninvasive imaging modality that could detect these intracranial pathologic changes.…”

The development of aluminum containers for the storage of blood in liquid nitrogen for the immunization of Rh volunteers.

“…On re-examination one year later, this patient has since developed a definite type III hyperlipoproteinaemia in that beta lipoprotein of D < 1006 has now been detected in his plasma; this confirms our previous hypothesis. The outbreak described by Gross, Rowe, and Easton (1973) is of interest because we have recently encountered a similar outbreak with four cases in our own premature baby unit (Gwynn and George, 1973) and know of one further case in another baby unit in this city (Bridgwater, 1972, personal communication). Citrobacter koseri may therefore be a more frequent cause of neonatal meningitis than has been recognized in the past and its potential pathogenicity in baby units seems clear.…”