Bacterial meningitidis of penicillin and cephalosporin resistant streptococcus pneumoniae

ABSTRACT

The authors report a case of bacterial meningitis with pneumococcus resisting to penicillin. It concerns an 8 years old child, who presented since the age of 9 months with recurrent meningitis due to a malformation in the internal ear [Mondini malformation]. The pneumococcus responsible of this is a serotype 23 which is resistant to penicillin, the oxacillin and to the cephalosporins of 3rd generation [CMI=2ug/ml]. The improvement was obtained with great doses of vancomycin. In Morocco, the resistance of the pneumococcus to penicillin is close to 10% and it is especially made of an intermediary level of resistance