Perinatal/Neonatal Case Presentation

Journal of Perinatology (2007) 27, 589–591. doi:10.1038/sj.jp.7211783

Currarino syndrome as an etiology of a neonatal Escherichia coli meningitis

J Fleury1, G Picherot1, C Cretolle2, G Podevin3, A David4, J Caillon5,6, J C Roze7 and C Gras-le Guen6,7

  1. 1Clinique Médicale Pédiatrique, Hôpital Mère Enfant CHU Nantes, CHU Nantes, France
  2. 2Service de Chirurgie Viscérale Infantile et INSERM U781, Hôpital Necker-Enfants Malades, Paris, France
  3. 3Service de Chirurgie Infantile, Hôpital Mère Enfant CHU Nantes, CHU Nantes, France
  4. 4Service de Génétique Médicale, CHU Nantes, France
  5. 5Laboratoire de Microbiologie, CHU Nantes, France
  6. 6UPRES EA 3826, Faculté de Médecine de Nantes, Nantes, France
  7. 7Service de Néonatologie, Hôpital Mère Enfant CHU Nantes, CHU Nantes, France

Correspondence: Dr C Gras-le Guen, Néonatologie, Hôpital Mère Enfant CHU Nantes, 38 bd Jean Monnet, Cedex 1, Nantes 44093, France. E-mail: christele.grasleguen@chu-nantes.fr

Received 19 February 2007; Revised 23 April 2007; Accepted 24 April 2007.

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Abstract

We report the case of a 29-day-old baby girl in whom Escherichia coli meningitis led to the diagnosis of Currarino syndrome (CS) (OMIM 176450), an autosomal-dominant genetic disorder associated with sacral agenesis, anorectal malformation, presacral masses and spinal cord malformations. Her condition improved with antibiotics and early surgical treatment. A familial study identified other genetically related individuals with similar symptoms.

Keywords:

neonate, anorectal malformation, bacterial meningitis, Currarino syndrome, HLXB9 gene

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