Abstract
A fatal case of meningitis due to Bacteroides fragilis and Fusobacterium necrophorum is reported. This appears to be the first case in which meningitis due to these organisms was not secondary to a disease elsewhere in the body. The organisms are difficult to culture and strict anaerobic methods should be used whenever they are suspected. Intravenous metronidazole is probably the antibiotic of choice.
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- ALSTON J. M. Necrobacillosis in Great Britain. Br Med J. 1955 Dec 24;2(4955):1524–1528. doi: 10.1136/bmj.2.4955.1524. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cooke R. W. Bacteroides fragilis septicaemia and meningitis in early infancy. Arch Dis Child. 1975 Mar;50(3):241–243. doi: 10.1136/adc.50.3.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feathers R. S., Sagor G. R., Lewis A. A., Amirak I. D., Noone P. Prophylactic systemic antibiotics in colorectal surgery. Lancet. 1977 Jul 2;2(8027):4–8. doi: 10.1016/s0140-6736(77)90003-4. [DOI] [PubMed] [Google Scholar]
- Feldman W. E. Bacteroides fragilis ventriculitis and meningitis. Report of two cases. Am J Dis Child. 1976 Aug;130(8):880–883. doi: 10.1001/archpedi.1976.02120090090017. [DOI] [PubMed] [Google Scholar]
- Galland R. B., Saunders J. H., Mosley J. G., Darrell J. H. Prevention of wound infection in abdominal operations by peroperative antibiotics or povidone-iodine. A controlled trial. Lancet. 1977 Nov 19;2(8047):1043–1045. doi: 10.1016/s0140-6736(77)91880-3. [DOI] [PubMed] [Google Scholar]
- Griffiths D. A., Simpson R. A., Shorey B. A., Speller D. C., Williams N. B. Single-dose peroperative antibiotic prophylaxis in gastrointestinal surgery. Lancet. 1976 Aug 14;2(7981):325–328. doi: 10.1016/s0140-6736(76)92588-5. [DOI] [PubMed] [Google Scholar]
- Hardwick D. F., Cormode E. J., Riddell D. G. Respiratory distress and neck mass in a neonate. J Pediatr. 1976 Sep;89(3):501–505. doi: 10.1016/s0022-3476(76)80563-x. [DOI] [PubMed] [Google Scholar]
- Ingham H. R., Slekon J. B., Roxby C. M. Bacteriological study of otogenic cerebral abscesses: chemotherapeutic role of metronidazole. Br Med J. 1977 Oct 15;2(6093):991–993. doi: 10.1136/bmj.2.6093.991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KERSHAW C., MARKHAM N. P. Bacteroides infection; a report of two cases. N Z Med J. 1956 Aug;55(308):293–296. [PubMed] [Google Scholar]
- LIFSHITZ F., LIU C., THURN A. N. Bacteroides meningitis. Am J Dis Child. 1963 May;105:487–489. doi: 10.1001/archpedi.1963.02080040489011. [DOI] [PubMed] [Google Scholar]
- O'Grady L. R., Ralph E. D. Anaerobic meningitis and bacteremia caused by Fusobacterium species. Am J Dis Child. 1976 Aug;130(8):871–873. doi: 10.1001/archpedi.1976.02120090081015. [DOI] [PubMed] [Google Scholar]
- Phillips K. D., Tearle P. V., Willis A. T. Rapid diagnosis of anaerobic infections by gas-liquid chromatography of clinical material. J Clin Pathol. 1976 May;29(5):428–432. doi: 10.1136/jcp.29.5.428. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sanders D. Y., Stevenson J. Bacteroides infections in children. J Pediatr. 1968 May;72(5):673–677. doi: 10.1016/s0022-3476(68)80011-3. [DOI] [PubMed] [Google Scholar]
- de Louvois J., Gortavai P., Hurley R. Bacteriology of abscesses of the central nervous system: a multicentre prospective study. Br Med J. 1977 Oct 15;2(6093):981–984. doi: 10.1136/bmj.2.6093.981. [DOI] [PMC free article] [PubMed] [Google Scholar]

