Published online September 25, 2006
PEDIATRICS Vol. 118 No. 5 November 2006, pp. e1576-e1579 (doi:10.1542/peds.2006-1224)
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EXPERIENCE & REASON

Diffuse Pneumocephalus in Neonatal Citrobacter Meningitis

Joseph N. Alviedo, MDa, Beena G. Sood, MD, MS, FAAPa, Jacob V. Aranda, MD, PhDa and Cristie Becker, MDb

a Carman and Ann Adams Department of Pediatrics
b Department of Pediatric Radiology, Wayne State University, Hutzel Women's Hospital and Children's Hospital of Michigan, Detroit, Michigan

ABSTRACT

Pneumocephalus, intracranial air or gas collection, associated with neonatal meningitis is extremely rare. We report the first case in the United States and the second case in the world of intracranial gas accumulation in a neonate with Citrobacter koseri meningitis. The clinical presentation was acute with pneumocephalus demonstrated by cranial sonography and computed tomography. The clinical course was fatal despite the prompt administration of antibiotics.

Key Words: neonatal • meningitis • pneumocephalus • Citrobacter • head ultrasound • cranial computed tomography

Abbreviations: CSF, cerebrospinal fluid • CT, computed tomography

Accepted Jun 5, 2006.


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