Citrobacter Meningitis with Encapsulated Brain Abscesses in a 6 day Old Neonate

We present a 6 day old neonate who was detected to have Citrobacter meningitis with encapsulated brain abscesses. Such early encapsulation of brain abscesses is a very rare entity. This case highlights the importance of neuro-imaging in any case of meningitis in newborn. In absence of this neuro-imaging, the detection of multiple brain abscesses would have been missed as the neonate never presented with any focal neurological signs or seizures. On detection of brain abscesses in neonate, urgent neurosurgical evaluation should be undertaken in addition to ongoing medical management.