Bacillus cereus Bacteremia and Meningoencephalitis in a Twin-Preterm Neonate: A Case Report and Review of the literature
Received Date: September 19, 2018; Published Date: November 14, 2018
Bacillus cereus is a Gram-positive spore-forming, motile and rod-shaped bacterium that produces tissue destructive toxins and it is commonly found in the environment. As a human pathogen, it is known for self-limited acute gastroenteritis after food poisoning. But it is also a rare cause of neonatal sepsis, highly aggressive and often fatal. Herein, we describe a case of Bacillus cereus bacteremia and meningoencephalitis in a 4-day-old female twin-preterm neonate. The neonate in only 12 hours after the initial clinical deterioration developed irreversible brain damage and fell to coma. The infant died on her sixth day of life due to cardiorespiratory deterioration and brain stem, central arrest. This case report aims to highlight the importance of clinical suspicion, early diagnosis and effective treatment.