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[A case of late onset group B streptococcus meningitis with transient oculomotor nerve palsy]
1Nakano Children's Hospital, Osaka.
Abstract:
I report here a case of late onset Group B Streptococcus (GBS) meningitis with transient oculomotor nerve palsy. The boy was admitted to our hospital at 25 days of age. On the 5th hospital day, he was found to be unable to open the left eye. Although light reflex of both the eyes was intact, the left eye was deviated to the left lateral side. We administered intravenously steroid hormone and antibiotics. His eye movements were normalized on the 30th hospital day. Oculomotor nerve palsy in this case may have been caused by vasculitis of the middle cerebral artery. This case shows that steroid hormone is effective for vascular edema complicating neonatal meningitis.
Insights
Late-onset Group B Streptococcus meningitis can cause temporary oculomotor nerve palsy in infants. Intravenous steroid hormone treatment effectively resolved the vascular edema and improved eye movement in this case.
Area of Science:
- Neurology
- Infectious Diseases
- Ophthalmology
Background:
- Late-onset Group B Streptococcus (GBS) meningitis is a serious neonatal infection.
- Oculomotor nerve palsy is a rare complication of neonatal meningitis, potentially leading to long-term visual impairment.