Affiliations: Department of Pediatrics, Mafraq Hospital, Abu Dhabi,
United Arab Emirates
Note: [] Correspondence: Dr. Anutosh Shee, MD, %Specialist Pediatrician,
Department of Pediatrics, Mafraq Hospital, Middle Region, Abu Dhabi, United
Arab Emirates. Tel.: +971 25011111; E-mail: shee_anutosh@rediffmail.com
Abstract: Enterococcus faecalis meningitis in children generally occurs when
some predisposing factors are present, particularly central nervous system
malformations and previous neurological surgery. In this article, we present a
case of a relapse of E. faecalis meningitis in a 4-month-old
previously healthy, well-grown infant who did not have any predisposing
factors. He was discharged in good condition following a full 3 week course of
an antibiotic that the organism was sensitive to, vancomycin. No cause was
identified for the relapse and it was assumed to be due to persistence of the
infection in the meningeal and/or parameningeal foci. Subsequent clearance of
the infection following three more weeks of therapy suggests there is a need to
increase the initial treatment duration of the sensitive antibiotic
Keywords: E. faecalis, bacterial meningitis, childhood, vancomycin-resistant Enterococci
