Longitudinally transverse myelitis as a rare complication of pneumococcal meningitis: case report
Hela Sakly1,2, Sana Rouis1,2, Hajer Chakroun1,2
1Infectious Diseases Department, Ibn Al Jazzar University Hospital, Kairouan, Tunisia.
Abstract:
Pneumococcal meningitis is the most severe bacterial meningitis rarely complicated by acute myelitis. We report a case of a 54-year-old female who presented with pneumococcal meningoencephalitis. After eight days of hospitalization, the patient presented a sudden onset of bilateral lower leg weakness and bladder and bowel sphincter dysfunction. A neurological examination revealed a flaccid paraplegia. A magnetic resonance imaging (MRI) of the brain and the complete spinal cord was performed and showed cervical and thoracic myelitis. The patient was successfully treated with antibiotics and intravenous steroids. This case emphasizes the importance of considering myelitis as an acute complication of bacterial pneumococcal meningitis, with a good prognosis depending on early recognition and administration of appropriate therapy.
Insights
Pneumococcal meningitis can rarely cause acute myelitis, leading to leg weakness and sphincter dysfunction. Early antibiotic and steroid treatment offers a good prognosis for this severe bacterial meningitis complication.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Pneumococcal meningitis is a severe bacterial infection of the brain's lining.
- Acute myelitis is a rare but serious complication of bacterial meningitis.
- This case highlights a rare presentation of pneumococcal meningoencephalitis with myelitis.
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