Affiliations: Department of Child and Family, Pediatric Infectious
Unit, Hospital de Santa Maria, CHLN, Lisbon, Portugal | Department of Pediatrics, Hospital Reynaldo dos
Santos, Vila Franca de Xira, Portugal | Department of Neurosciences, Hospital de Santa Maria,
CHLN, Lisbon, Portugal
Note: [] Correspondence: Dr. João Núncio Crispim, Department of
Child and Family, Pediatric Infectious Unit, Hospital de Santa Maria, CHLN,
Lisbon, Portugal. Tel.: +35 1217805202; Fax: +35 1217805623; E-mail: jncrispim@gmail.com
Abstract: We present a case of a 6-month-old boy admitted with
hydranencephaly, cranial hypertension, prolonged fever and malnutrition.
Cerebrospinal fluid culture identified Burkholderia cepacia meningitis,
which was controlled with ceftazidime plus amikacin after a protracted course.
This is the only case of B. cepacia meningitis reported in the medical
literature the last 20 years. Previous cases were successfully treated with
co-trimoxazole or the third generation cephalosporins.