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.
MANGINELLO FP, PASCALE JA, WOLFSDORF J. Neonatal Meningococcal Meningitis and Meningococcemia. Am J Dis Child. 1979;133(6):651–652. doi:10.1001/archpedi.1979.02130060091025
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