Ali ANNAGÜR, Hüseyin ALTUNHAN, SABAHATTİN ERTUĞRUL, MURAT KONAK, Rahmi ÖRS

Nadir bir neonatal menenjit etkeni: Grup A streptokok

Grup A streptokoklar neonatal menenjitin oldukça nadir etkenlerindendir. Biz literatür ışığında A grubu beta hemolitik streptokokun neden olduğu bir yenidoğan menenjit olgusunu tartıştık. Daha önce sağlıklı olan 24 günlük erkek bebek; bir gündür devam eden ateş, emmeme ve sola lokalize konvülziyonla başvurdu. Yapılan lomber ponksiyonu pürülan menenjit ile uyumluydu. Hem kan hem de beyin omurilik sıvısı kültüründe A grubu beta hemolitik streptokok üredi. Hasta Penisilin G ile tedavi edildi. Klinik seyrinde tetra ventriküler hidrosefali geliştiği gözlendi. Ancak şant takılmasına ihtiyaç duyulmadı. Takiplerinde de işitme kaybı geliştiği tespit edildi. Grup A streptokok menenjiti yenidoğan döneminde oldukça nadir görülmesine rağmen yenidoğan sepsis ve menenjit olgularında akılda bulundurulması gereken etkenlerdendir. Grup A streptokok menenjiti diğer yenidoğan menenjit etkenleri gibi ciddi nörolojik sekellere yol açabilir.

A rare cause of neonatal meningitis: Group A streptecocci

Group A Streptococci are rare cause of neonatal menin- gitis. In this case report, we discussed a case of newborn meningitis caused by Group A beta hemolytic streptococ- cus under the light of related literature. Twenty four days old male baby who was reported to be completely healthy before was referred to our clinic with symptoms of fever, not sucking and left localized convulsion which were pres- ent for one day. Lumbar puncture was consistent with pu- rulent meningitis. Group A beta hemolytic streptococcus growth both in blood and Cerebrospinal liquid. Patient was treated with Penicillin G. In clinical follow-up, tetra ventricular hydrocephaly was detected but there was no need for shunt. Later follow-up revealed hearing loss. Meningitis caused by Group A beta hemolytic streptococ- cus although is quite rare must be kept in mind in cases of newborn meningitis. Group A Streptococcus can also cause serious neurological sequel as in other newborn meningitis causes.

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