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  • Title: Vertically acquired neonatal citrobacter brain abscess - case report and review of the literature.
    Author: Agrawal D, Mahapatra AK.
    Journal: J Clin Neurosci; 2005 Feb; 12(2):188-90. PubMed ID: 15749429.
    Abstract:
    Vertically acquired citrobacter meningitis in the neonate is very rare and carries a very high mortality and morbidity. Overall, approximately 30% of neonates with Citrobacter meningitis die and 50% sustain some damage to the CNS. The authors describe a case of a newborn with Citrobacter koseri meningitis with multiple brain abscesses, with a successful outcome following multiple burr-hole aspirations and prolonged antibiotic therapy. An aggressive surgical approach combined with intravenous antibiotics (including imipenems, to which the organism is very sensitive) for a minimum of 4 weeks appears to improve the outcome of infection with this virulent organism.
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