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J Pediatr Infect Dis 2008; 03(02): 137-139
DOI: 10.1055/s-0035-1556971
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Bacterial meningitis caused by penicillin-resistant Neisseria lactamica

Maria Papapetropoulou
a   “Iatrikon Athinon” Medical Center, Athens, Greece
,
Georgina Tzanakaki
b   National Meningitis Reference Laboratory, National School of Public Health, Athens, Greece
,
Spiridon Papapetropoulos
c   Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL 33124, USA
,
Alexandra Guevara-Salcedo
c   Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL 33124, USA
,
Fani Leontsini
a   “Iatrikon Athinon” Medical Center, Athens, Greece
,
Jenny Kremastinou
b   National Meningitis Reference Laboratory, National School of Public Health, Athens, Greece
,
Themistoklis Karpathios
a   “Iatrikon Athinon” Medical Center, Athens, Greece
› Author Affiliations
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Further Information

Publication History

27 November 2007

31 January 2008

Publication Date:
28 July 2015 (online)

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Abstract

A case of a 5-year-old child with signs and symptoms of bacterial meningitis was admitted to the “Iatrikon Athinon” Medical Center, Athens, Greece. The isolated strain was identified as Neisseria lactamica. Susceptibility to penicillin, cefotaxime, ceftriaxone, tetracycline, sulfonamides, rifampicin, ciprofloxacin, erythromycin and chloramphenicol was determined twice by E-test. The isolate was resistant to penicillin (8 μg/mL) and erythromycin (64 μg/mL). Since antibiotic susceptibility testing revealed that the isolate was resistant to penicillin, the patient was successfully treated with ceftriaxone. This is a first report of a meningitis case due to penicillin-resistant N. lactamica in Greece.

Keywords

Neisseria lactamica - meningitis - penicillin - resistance