Meningitis neonatal por enterovirus. Experiencia de un caso y revisión del tema

• Autores: Paula Sánchez Pintos, María Luz Couce Pico, María José Fernández Seara, José Ramón Fernández Lorenzo, Eduardo Varela Ledo, José María Fraga Bermúdez
• Localización: Revista española de pediatría: clínica e investigación, ISSN 0034-947X, Vol. 66, Nº. 6, 2010, págs. 373-377
• Idioma: español
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• Resumen

  • We report a case of a 36-week gestational age female diagnosed with enterovirus meningitis by polymerase chain reaction at 6 days of age, probably by congenital transmission. Enterovirus are a common cause of neonatal infection, frecuently underdiagnosed because they are not usually included in the differential diagnoses of the neonatal sepsis. Maternal compatible symptoms could help to the diagnoses in the cases with vertical transmission. An early enterovirus identification may reduce the length of antibiotic treatment and hospitalization and allow an accurated follow up, alerting of complications. Antiviral treatment with pleconaril is accepted in severe cases, but nowadays there is a lack of consensuated indication for the treatment of neonatal enterovirus infections. The evolution of the present case was favorable with a normal neurological development until the sixth month of age and without anormalities in the neuroimaging. This article reviews the clinical manifestations, the diagnoses and the potencial treatment for enterovirus infections in newborns.