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November 1964

Herellea Meningitis Following Ventriculography

Author Affiliations

Ernest B. Hook, MD, Department of Pediatrics, University of Minnesota, Minneapolis, Minn 55455.; Medical Fellow, University of Minnesota Hospitals (Dr. Hook); Resident Physician, University of Washington Hospitals (Dr. Aase).; From the Department of Pediatrics, University of Minnesota Hospitals.

Am J Dis Child. 1964;108(5):452-453. doi:10.1001/archpedi.1964.02090010454002

With increasing frequency, members of the bacteriologic tribe Mimeae are being recognized as pathogens in man.1-3 These Gramnegative pleomorphic bacteria are so named because their morphological characteristics mimic the Neisseria group, especially the gonococcus. As with many other Gramnegative bacteria, these organisms may cause serious infections in hosts with impaired resistance, especially infants and the elderly. Nevertheless, they may also seriously affect those with apparently adequate resistance.1 Three species may be distinguished by use of fermentation reactions: Mima polymorpha, Herellea vaginicola (often called Bacterium anitratum), and Colloides anoxydana.1Hercllea has been further subdivided on the basis of serological typing.2

We describe here an infant in whom Herellea meningitis most probably resulted from injection of contaminated air into the ventricles, although, in a case such as this, inadequate antisepsis or use of a contaminated needle cannot be ruled out.

Report of a Case  A white male infant

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