Neonatal meningitis
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Neonatal meningitis | |
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Synonyms | N/A |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Fever, irritability, poor feeding, lethargy, seizures |
Complications | Hearing loss, cerebral palsy, intellectual disability |
Onset | Neonatal period |
Duration | Varies |
Types | N/A |
Causes | Bacterial infection (e.g., Group B Streptococcus, Escherichia coli, Listeria monocytogenes) |
Risks | Premature birth, low birth weight, prolonged rupture of membranes |
Diagnosis | Lumbar puncture, blood culture, imaging studies |
Differential diagnosis | Sepsis, encephalitis, intracranial hemorrhage |
Prevention | N/A |
Treatment | Antibiotics, supportive care |
Medication | N/A |
Prognosis | Varies; can be severe |
Frequency | Rare |
Deaths | N/A |
Neonatal meningitis is a serious medical condition that affects newborns. It is an infection of the meninges, the protective membranes that cover the brain and spinal cord. This condition is most commonly caused by bacterial infection and can lead to severe complications if not treated promptly.
Causes
The most common causes of neonatal meningitis are bacterial infections. These can be transmitted from the mother to the baby during childbirth. The most common bacteria that cause neonatal meningitis are Group B Streptococcus, Escherichia coli, and less frequently, Listeria monocytogenes.
Symptoms
The symptoms of neonatal meningitis can be subtle and may not appear immediately. They can include:
- High or low body temperature
- Irritability or lethargy
- Poor feeding
- Vomiting
- Seizures
- Bulging fontanelle (the soft spot on the top of a baby's head)
Diagnosis
Diagnosis of neonatal meningitis is typically made through a lumbar puncture, also known as a spinal tap. This procedure involves taking a sample of cerebrospinal fluid (CSF) from the baby's spine and testing it for the presence of bacteria.
Treatment
Treatment for neonatal meningitis typically involves intravenous antibiotics. The specific antibiotics used will depend on the type of bacteria causing the infection. In severe cases, hospitalization may be required.
Prognosis
The prognosis for neonatal meningitis varies. With prompt treatment, many babies can recover fully. However, in severe cases, the condition can lead to long-term complications such as hearing loss, vision problems, and developmental delays.
Prevention
Prevention of neonatal meningitis involves screening pregnant women for Group B Streptococcus and treating them with antibiotics if they are carriers. In addition, good hygiene practices can help to prevent the spread of bacteria that can cause meningitis.
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Contributors: Prab R. Tumpati, MD