Two infants are described in whom identical strains of meningococcus were isolated from both the eyes and the cerebrospinal fluid. This suggests that the eye may be a portal of entry in at least some cases of perinatally acquired neonatal meningococcal disease and has important implications for the management of perulent conjunctivitis in the newborn. (Arch Dis Child 1992;67:1219-20) Around 12 000 babies are born each year in the three maternity hospitals in Liverpool. Over the last five years we have encountered two babies who developed meningococcal conjunctivitis before developing meningococcal meningitis. We describe these infants here first, as a reminder to clinicians not to underestimate the potential seriousness of neonatal conjunctivitis, and second, because these cases demonstrate a possible mechanism for the development of meningococcal meningitis.
catarrhalis. 16 who died were on palliative care with no treatment.12 had terminal cancer,10 end stage COPD, 3 end stage amyotrophic lateral sclerosis, 2 ischemic bowel,1 anoxic brain injury and 1 with end stage muscular disabilities. All respiratory isolates tested (103/103) 100%, were susceptible to trimehoprim/sulphametoxasole with susceptibility to levofloxacin 98/103 (95.4%), ceftazidime 27/91 (29.7%) and ticarcilin/clavulanic acid 27/101 (26.7%).Conclusion: Majority of SM respiratory infections were polymicrobial, in elderly, with significant comorbidities, terminal illnesses and associated with endotracheal tubes and traheostomies in a significant number. Most deaths could not be directly attributable to SM.
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