LISTERIA-MONOCYTOGENES MENINGITIS IN A PENICILLIN-ALLERGIC PEDIATRIC RENAL-TRANSPLANT PATIENT

Currently in many centres the extended spectrum cephalosporins (e.g. c efotaxime and ceftriaxone) are being used empirically for patients wit h suspected bacterial meningitis. We present a ease of meningitis in a penicillin allergic paediatric renal transplant patient from whose ce rebrospinal fluid (CSF) Listeria monocytogenes was cultured, despite f our days of cefotaxime therapy The patient was successfully treated wi th meropenem but required neuro-endoscopic intervention for hydrocepha lus.