Simultaneous Mixed Bacterial Meningitis in an Infant

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Abstract
Reports in the literature have indicated that simultaneous meningeal infection involving two or more species of bacteria is not an uncommon occurrence. A recent series encompassing 15 years has shown that 3.7% of the patients with acute bacterial meningitis have simultaneous mixed infections.1This observation must be brought to focus in the treatment of young infants, since it is in this group of patients that simultaneous mixed bacterial meningitis has its highest incidence.1 The following case is the first report involvingHerellea vaginicolain a mixed simultaneous meningeal infection withDiplococcus pneumoniaein a five-week-old infant. This case meets with the criteria of a "simultaneous mixed" infection since the two different bacteria were isolated on the initial spinal fluid culture. The organisms were also seen on the gram-stained smear of the same spinal fluid specimen. Report of a Case Case1.—A five-week-old Negro girl was admitted with a

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