Childhood meningitis caused by enterococci and viridans streptococci

• Published in: Infection 1992-05, Vol.20 (3), p.118-121
• Main Authors: KOOREVAAR, C. T, SCHERPENZEEL, P. G. N, NEIJENS, H. J, DERKSEN-LUBSEN, G, DZOLIJIC-DANILOVIC, G, DE GROOT, R
• Format: Article
• Language: English
• Subjects: Bacterial diseases; Bacterial diseases of the nervous system. Bacterial myositis; Biological and medical sciences; Blood - microbiology; Causality; Cerebrospinal Fluid - chemistry; Cerebrospinal Fluid - cytology; Cerebrospinal Fluid - microbiology; Cerebrospinal Fluid Proteins - chemistry; Enterococcus; Female; Glucose - chemistry; Gram-Positive Bacterial Infections - diagnosis; Gram-Positive Bacterial Infections - epidemiology; Gram-Positive Bacterial Infections - microbiology; Hospitals, Pediatric; Hospitals, University; Human bacterial diseases; Humans; Infant; Infant, Newborn; Infectious diseases; Leukocyte Count; Male; Medical sciences; Meningitis, Bacterial - diagnosis; Meningitis, Bacterial - epidemiology; Meningitis, Bacterial - microbiology; Netherlands - epidemiology; Retrospective Studies; Streptococcal Infections - diagnosis; Streptococcal Infections - epidemiology; Streptococcal Infections - microbiology; Streptococcus viridans
• ISSN: 0300-8126; 1439-0973
• DOI: 10.1007/BF01704596

Selected clinical and laboratory parameters were studied respectively in patients with meningitis caused by enterococci and viridans streptococci in an academic children's hospital. During a nine-year period (1981-1989), enterococci or viridans streptococci were isolated from the cerobrospinal fluid (CSF) of 48 patients. In nine of these 48 patients, enterococci or viridans streptococci were the causative agents of meningitis. These nine children constituted 2.0% of 450 patients with bacterial meningitis in this period. All nine children suffered from underlying diseases; neurosurgical procedures were performed in six of these patients, of whom four had ventricular drains. A head trauma preceded the development of meningitis in another patient. Drainage of the lacrimal duct was associated with the development of meningitis in another patients. One child concurrently suffered from severe gastroenteritis. CSF leukocyte count and CSF protein levels were moderately elevated, whereas CSF glucose levels were either slightly decreased or within the normal range. Meningitis due to enterococci or viridans streptococci is seen predominantly in children under the age of one year. Predisposing factors, including neurosurgical procedures, head trauma and severe gastroenteritis, are usually present in these patients. The prognosis for recovery is generally good.