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Updated: Jul 13, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
Cauda equina syndrome complicating pneumococcal meningitis
A 14-month-old girl with pneumococcal meningitis developed lumbosacral polyradiculopathy, leading to paralysis and loss of bladder/bowel control. Spinal MRI revealed characteristic cauda equina inflammation, confirming the diagnosis.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Pneumococcal meningitis can lead to serious neurological complications in children.
- Lumbosacral polyradiculopathy is a rare but severe consequence affecting nerve roots.
Observation:
- A 14-month-old female presented with acute flaccid paraplegia.
- Symptoms included saddle anesthesia and significant bladder and bowel dysfunction.
- Clinical presentation suggested involvement of the lower spinal cord and nerve roots.
Findings:
- Magnetic resonance imaging (MRI) of the spine was performed.
- MRI showed intense gadolinium enhancement of the cauda equina.
- The conus medullaris remained unaffected, ruling out direct involvement.
Implications:
- The findings confirm lumbosacral polyradiculopathy as the cause of the patient's symptoms.
- This highlights the importance of spinal MRI in diagnosing neurological complications of meningitis.
- Early diagnosis and management are crucial for potential recovery in pediatric cases.
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