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Case Reports in Pediatrics
Volume 2014, Article ID 195204, 4 pages
http://dx.doi.org/10.1155/2014/195204
Case Report

Neonatal Citrobacter koseri Meningitis: Report of Four Cases

1Pediatrics Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, 4400-129 Vila Nova de Gaia, Portugal
2Infancy and Adolescence Neurosciences Unit-Pediatrics Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, 4400-129 Vila Nova de Gaia, Portugal
3Neonatology Unit-Pediatrics Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, 4400-129 Vila Nova de Gaia, Portugal

Received 30 December 2013; Accepted 16 January 2014; Published 19 February 2014

Academic Editors: S. M. Dehghani, R. Lauterbach, and S. Vargas

Copyright © 2014 Joana Rodrigues et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Citrobacter koseri is a rare cause of neonatal meningitis with predisposal for brain abscesses, and therefore responsible for high mortality and serious neurologic sequelae in this age group. We present the evolution and outcome of four cases of C. koseri meningitis. One of them developed brain abscesses and another one died. The cases show the bacteria's propensity for serious brain damage, despite early and adequate treatment, and the high risk of long-term neurologic complications in survivors, which imposes a close follow-up.