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May 30, 1977

Neonatal Meningococcal Meningitis

Author Affiliations

Brown University Providence, RI

JAMA. 1977;237(22):2381. doi:10.1001/jama.1977.03270490021012

To the Editor.—  Jones et al reported a case of fatal Neisseria meningitidis meningitis in a 2-week-old female infant associated with colonization of the mother's cervix (at 36 weeks' gestation) and throat (postpartum) with the same organism (236:2652, 1976). There has been a report of a similar association by Sunderland et al,1 who described the fatal occurrence of group C N meningitidis meningitis in a 2-day-old infant girl born to a mother from whom the same organism was isolated postpartum in the pharynx and lochia.The expression "delayed-onset meningitis" has been used to describe certain cases of later neonatal infection caused by group B Streptococcus (230: 1158, 1974; 230:1177, 1974). This term implies the difficulty in ascertaining the mode of transmission of the organism to the neonate.The age at onset of illness in the patient described by Jones and colleagues leaves open to question which of the sites