M. Guibert et al., FAILURE OF CEFOTAXIME TREATMENT IN 2 CHILDREN WITH MENINGITIS CAUSED BY HIGHLY PENICILLIN-RESISTANT STREPTOCOCCUS-PNEUMONIAE, Acta paediatrica, 84(7), 1995, pp. 831-833
Two infants, aged 8.5 and 11 months, were admitted for meningitis caus
ed by Streptococcus pneumoniae. Failure of cefotaxime led to the ident
ification of highly penicillin-G-resistant strains. Minimum inhibitory
concentrations (MICs) for penicillin were > 2 mu g/ml, and cefotaxime
MICs were 2 mu g/ml. Both patients rapidly responded to a combination
of iv imipenem and rifampicin. It is now mandatory to test in-vitro s
usceptibilities of Streptococcus pneumoniae to penicillin G and other
beta-lactam agents when meningitis is diagnosed in infants.