Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge
Meningitis is an uncommon complication of head trauma. Vasculitis in bacterial meningitis is seen in 9–25% of adults while neurological deficits in bacterial meningitis are seen in about one-third of children. We report a 5-year-old boy, previously healthy who was admitted in March 2019 to Latifa Wo...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Knowledge E
2021-06-01
|
| Series: | Dubai Medical Journal |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/516806 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846095749216993280 |
|---|---|
| author | Sura Ahmed Al-Doory Alia Magzoub Nikhil Pawar Mahmoud Radaideh Shafeeka Mohammed Saleh Mohammed Ali Al Sabbah Fatima Mir |
| author_facet | Sura Ahmed Al-Doory Alia Magzoub Nikhil Pawar Mahmoud Radaideh Shafeeka Mohammed Saleh Mohammed Ali Al Sabbah Fatima Mir |
| author_sort | Sura Ahmed Al-Doory |
| collection | DOAJ |
| description | Meningitis is an uncommon complication of head trauma. Vasculitis in bacterial meningitis is seen in 9–25% of adults while neurological deficits in bacterial meningitis are seen in about one-third of children. We report a 5-year-old boy, previously healthy who was admitted in March 2019 to Latifa Women’s and Children’s Hospital, Dubai, UAE, with pneumococcal meningitis. One day before presentation, he had a history of fall with head trauma while running at school. Initial brain CT scan was normal. Few hours after admission, the child was noticed to be drowsy with cold extremities and mottled skin. He was shifted to PICU and, ultimately, he required intubation and mechanical ventilation. The child continued spiking high-grade fever with deterioration in the neurologic status. His GCS deteriorated to 4/15 with decerebrations posture. He underwent serial brain imaging which revealed multiple chronic infarcts with hydrocephalic changes due to ongoing cerebral vasculitis. The child was started on steroid therapy on 28 April 2019 after which his condition improved at an incredible pace. |
| format | Article |
| id | doaj-art-a63cf3b0159a4306974206e7603d5c58 |
| institution | Kabale University |
| issn | 2571-726X |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Dubai Medical Journal |
| spelling | doaj-art-a63cf3b0159a4306974206e7603d5c582025-01-02T09:31:47ZengKnowledge EDubai Medical Journal2571-726X2021-06-014211211610.1159/000516806516806Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic ChallengeSura Ahmed Al-Doory0Alia Magzoub1Nikhil Pawar2Mahmoud Radaideh3Shafeeka Mohammed Saleh4Mohammed Ali Al Sabbah5Fatima Mir6Pediatric Hematology Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesPediatric Hematology Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesPediatric Neurology Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesPediatric Hematology Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesPediatric Neurology Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesPediatric Neurology Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesPediatrics Department, Latifa Women and Children Hospital, Dubai, United Arab EmiratesMeningitis is an uncommon complication of head trauma. Vasculitis in bacterial meningitis is seen in 9–25% of adults while neurological deficits in bacterial meningitis are seen in about one-third of children. We report a 5-year-old boy, previously healthy who was admitted in March 2019 to Latifa Women’s and Children’s Hospital, Dubai, UAE, with pneumococcal meningitis. One day before presentation, he had a history of fall with head trauma while running at school. Initial brain CT scan was normal. Few hours after admission, the child was noticed to be drowsy with cold extremities and mottled skin. He was shifted to PICU and, ultimately, he required intubation and mechanical ventilation. The child continued spiking high-grade fever with deterioration in the neurologic status. His GCS deteriorated to 4/15 with decerebrations posture. He underwent serial brain imaging which revealed multiple chronic infarcts with hydrocephalic changes due to ongoing cerebral vasculitis. The child was started on steroid therapy on 28 April 2019 after which his condition improved at an incredible pace.https://www.karger.com/Article/FullText/516806pneumococcal meningitisvasculitiscorticosteroids |
| spellingShingle | Sura Ahmed Al-Doory Alia Magzoub Nikhil Pawar Mahmoud Radaideh Shafeeka Mohammed Saleh Mohammed Ali Al Sabbah Fatima Mir Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge Dubai Medical Journal pneumococcal meningitis vasculitis corticosteroids |
| title | Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge |
| title_full | Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge |
| title_fullStr | Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge |
| title_full_unstemmed | Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge |
| title_short | Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge |
| title_sort | complicated pneumococcal meningitis a diagnostic and therapeutic challenge |
| topic | pneumococcal meningitis vasculitis corticosteroids |
| url | https://www.karger.com/Article/FullText/516806 |
| work_keys_str_mv | AT suraahmedaldoory complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge AT aliamagzoub complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge AT nikhilpawar complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge AT mahmoudradaideh complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge AT shafeekamohammedsaleh complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge AT mohammedalialsabbah complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge AT fatimamir complicatedpneumococcalmeningitisadiagnosticandtherapeuticchallenge |