PEDIATRICS Vol. 82 No. 6 December 1988, pp. 909-913
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Bacillus Species Isolates From Cerebrospinal Fluid in Patients Without Shunts

Henry M. Feder Jr MD1, Richard A. Garibaldi MD1, Brenda A. Nurse MD1, and Raymond Kurker MD1

1 From the Departments of Pediatrics, Family Medicine, and Medicine, University of Connecticut Health Center, Farmington, and the Department of Infectious Diseases, New Britain Memorial Hospital, New Britain, Connecticut

Of 849 CSF cultures done at Hartford Hospital, nine were positive for nonanthrax Bacillus species. Differentiation of true nonanthrax Bacillus species infection from contamination requires careful consideration of the clinical findings, the clinical course, and the laboratory data. In seven patients the nonanthrax Bacillus species represented contamination. In two patients the nonanthrax Bacillus species represented true infection. In one of these infected patients, nonanthrax Bacillus species complicated a cranial gun shot wound. Bacillus cereus meningitis developed in the second patient, a premature infant, following sepsis from a contaminated IV catheter. Nonanthrax Bacillus species, especially B cereus, can be resistant to penicillins and cephalosporins when nonanthrax Bacillus species infections are being treated, susceptibility testing should always be performed.

Key Words: Bacillus cereus • meningitis • cerebrospinal fluid • contamination • infection

Submitted on March 23, 1987
Accepted on October 6, 1987




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