Summary of three cases with a destructive hemorrhagic meningoencephalitis
Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Gestational age (wk) | 30 6/7 | 28 3/7 | 34 1/7 |
First day of disease signs | 5 | 5 | 13 |
Death (day) | 10 | 8 | 15 |
Prenatal | |||
Chorioamnionitis | Neg | Neg | Neg |
Monozygous twinning | Neg | Neg | Neg |
Perinatal | |||
Apgarscore 5` | 8 | 8 | 9 |
pH umb art | 7.23 | ||
Postnatal | |||
GBS, listeria, Gram negative | Neg | Neg | Neg |
PDA | No | No | No |
Hypotension during infection | Yes | Yes | Yes |
Other sepsis parameters (blood pressure, acidosis, WBC) | Yes | Yes | Yes |
Blood culture | Bacillus cereus | Bacillus cereus | Bacillus cereus |
Cerebrospinal fluid culture | Bacillus cereus | Bacillus cereus | Neg |
Meningoencephalitis | Yes | Yes | Yes |
Ventriculitis | No | No | Yes |