AUTHOR=Mizuno Shinsuke , Matsuzaki Sayaka , Yokoyama Koji , Hamahata Keigo , Yoshida Akira 

TITLE=Case Report: A Domestic Sponge Brush Used to Clean a Milk Feeding Bottle: The Source of Neonatal Meningitis Caused by Pseudomonas aeruginosa

JOURNAL=Frontiers in Pediatrics

VOLUME=9

YEAR=2021

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2021.725940

DOI=10.3389/fped.2021.725940

ISSN=2296-2360

ABSTRACT=<p><italic>Pseudomonas aeruginosa</italic> is a relatively rare cause of neonatal meningitis, and most patients have serious underlying diseases, prematurity, immunodeficiency, or anatomical abnormalities. We report the case of a 7-day-old girl with meningitis caused by <italic>P. aeruginosa</italic>. She was born full-term and had no immunodeficiency or anatomical abnormalities as far as our investigation ascertained. Through the use of anti-<italic>Pseudomonas</italic> antibiotics, she recovered without any complications other than a slight hearing disability revealed by audiology testing. <italic>P. aeruginosa</italic> was also isolated from a domestic sponge brush used to clean her milk bottle. Physicians should consider <italic>P. aeruginosa</italic> as a possible pathogen of neonatal meningitis even in full-term infants with no immunodeficiency or anatomical abnormalities. Physicians should give advice concerning appropriate hygiene practices to be applied to the neonate's environment.</p>