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June 1979

Neonatal Meningococcal Meningitis and Meningococcemia

Author Affiliations

St Joseph's Hospital and Medical Center 703 Main St Paterson, NJ 07503 College of Medicine and Dentistry of New Jersey Newark, NJ 07103 GERALD M. KLEIN, MD Pascack Valley Hospital Westwood, NJ

Am J Dis Child. 1979;133(6):651-652. doi:10.1001/archpedi.1979.02130060091025

Meningococcal meningitis and meningococcemia are relatively common entities in children. Neonatal meningitis caused by Neisseria meningitidis is quite rare, however, and the outcome is often fatal. Furthermore, to our knowledge, recovery from meningococcemia has yet to be reported in a neonate. We describe a 2-week-old boy with meningococcemia and meningococcal meningitis whose condition was successfully treated, but in whom a colonized contact was never identified.

Report of a Case.—A 2,250-g boy, first of a pair of monozygotic twins, was born by spontaneous vaginal delivery after a 38-week gestation to a 31-year-old, gravida 4, para 3 woman. Apgar scores were 7 and 9 at one and five minutes, respectively. A previous full-term pregnancy resulted in the unexplained birth of a stillborn male infant. This pregnancy, labor, and delivery were unremarkable. The infant was discharged in apparently good condition at 7 days of age to his parents, with his twin brother.

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