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AJNR Am J Neuroradiol · Sep 2005
Review Case ReportsBacillus cereus meningoencephalitis in preterm infants: neuroimaging characteristics.
- Maarten H Lequin, Jeroen R Vermeulen, Ruurd M van Elburg, Frederik Barkhof, René F Kornelisse, Renate Swarte, and Paul P Govaert.
- Department of Radiology, Sophia Children's Hospital, Erasmus MC--University Medical Center, Rotterdam, the Netherlands.
- AJNR Am J Neuroradiol. 2005 Sep 1; 26 (8): 2137-43.
Background And PurposeMeningoencephalitis can severely damage the developing brain. Preterms are more prone for nosocomial infections with pathogens other than Group B streptococci and Escherichia coli. In this report we focus on the deleterious clinical course and imaging characteristics of proven Bacillus cereus meningoencephalitis.MethodsWe collected 3 cases of proven Bacillus cereus meningoencephalitis. In the medical records we focused on prenatal, perinatal, and postnatal risk factors. Imaging data of several brain ultrasounds, MR images, and diffusion-weighted images were reevaluated.ResultsThe ultrasound and MR images show a typical pattern of mainly hemorrhagic and early cavitating, selective white matter destruction.ConclusionKnowledge of this paradigm of acquired brain injury may help to better understand the natural course of these severe neonatal infections.
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