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September 1967

Meningitis in Neonates Due to Proteus mirabilis

Author Affiliations

From the Department of Pediatrics, Boston City Hospital. Dr. Levy is now at Massachusetts General Hospital, Boston.

Am J Dis Child. 1967;114(3):320-324. doi:10.1001/archpedi.1967.02090240134015

NEONATAL MENINGITIS due to bacteria of the genus Proteus is extremely rare.1 At the present time, only 17 proven cases have been reported in the literature,1 and of these, six have been caused by Proteus mirabilis.2-6 Paralleling the experience with neonatal meningitis in general, almost all of these cases either ended in death or developed severe neurological sequelae. It is the purpose of this paper to report two additional cases of P mirabilis meningitis in the neonatal period and to review the special features of, and the literature in, this disease.

Report of Cases  Case 1.—A boy was born to an 18-year-old Puerto Rican primigravida. The Hinton blood test was negative. Pregnancy was uncomplicated with a gestation period of 40 weeks. Labor began spontaneously and lasted six hours. The fetal membranes were ruptured on the delivery table. The amniotic fluid was clear and the presentation was vertex.

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