B. MUCOSUS CAPSULATUS (FRIEDLÄNDER) MENINGITIS; RECOVERY OF A THREE-WEEK-OLD INFANT TREATED WITH SULFADIAZINE AND STREPTOMYCIN
B. mucosus capsulatus (Friendländer) meningitis has been a disease entity for approximately 60 years. It occurs chiefly in very young or aged males. The diagnosis in the pediatric age group is especially difficult because of the paucity of symptoms and physical findings referable to the central nervous system or of any primary source of infection. meningitis differs from other types in that the spinal fluid becomes almost gelatinous unless treatment is quickly employed. Less than 50 cases of B. mucosus capsulatus meningitis have been reported, and only five of these have recovered. With the use of streptomycin and sulfadiazine, the mortality rate may be greatly reduced if the cases are diagnosed and treated early in the course of the illness. A case of B. mucosus capsulatus meningitis occurring in a three-week-old male infant who recovered has been presented.