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Published on: October 17, 2018
Unusual exanthema combined with cerebral vasculitis in pneumococcal meningitis: a case report
Theonimfi Tavladaki1, Anna-Maria Spanaki, Stavroula Ilia
1Paediatric Intensive Care Unit, University Hospital of Heraklion, University of Crete, Heraklion, Crete, Greece. ggbriass@otenet.gr.
Introduction:
Bacterial meningitis is a complex, rapidly progressive disease in which neurological injury is caused in part by the causative organism and in part by the host's own inflammatory responses.
Case Presentation:
We present the case of a two-year-old Greek girl with pneumococcal meningitis and an atypical curvilinear-like skin eruption, chronologically associated with cerebral vasculitis. A diffusion-weighted MRI scan showed lesions with restricted diffusion, reflecting local areas of immunologically mediated necrotizing vasculitis.
Conclusions:
Atypical presentations of bacterial meningitis may occur, and they can be accompanied by serious unexpected complications.
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