Khedher, Ahmed and Sma, Nesrine and Slama, Dorsaf and Fraj, Nesrine and Hachfi, Wissem and Boussarsar, Mohamed (2018) Cerebral Vasculitis Complicating Pneumococcal Meningitis. European Journal of Case Reports in Internal Medicine, 5 (5). ISSN 2284-2594
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Abstract
Introduction: Cerebral vasculitis is an uncommon life-threatening complication of community-acquired bacterial meningitis. Patient and methods: We report the case of a 64-year-old woman with pneumococcal meningitis who developed parainfectious vasculitis causing ischaemic brain damage. Cerebral magnetic resonance imaging (MRI) confirmed the diagnosis. Clinical and radiological recovery after delayed addition of corticosteroid was achieved. Discussion: This report shows that the onset of neurological deficits following pneumococcal meningitis can be caused by cerebral vasculitis. Underdosing with antibiotics and delayed adjunctive dexamethasone seem to favour this complication. There are no guidelines for treatment but high doses of steroids led to resolution in this case.
| Item Type: | Article |
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| Uncontrolled Keywords: | Cerebral vasculitis, pneumococcal meningitis, stroke, steroids |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 06 Aug 2018 10:01 |
| Last Modified: | 06 Aug 2018 10:01 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/18153 |
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