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Published on: April 1, 2014
Streptococcus Pneumoniae Meningitis Complicated by Hygroma and Vasculitis
Abdelkader Dib1, Johny Salem2, Mohamad Dawood3
1Department of Pulmonary Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon.
Abstract:
Hygroma and vasculitis are rare complications of meningitis, that are serious and potentially fatal. In this case report, we present a 71-year-old male diagnosed with Streptococcus pneumoniae meningitis who developed bilateral subdural hygroma and vasculitis despite appropriate treatment in the intensive care unit. The patient experienced seizures and persistent febrile episodes, leading to the diagnosis of these complications. Despite surgical and medical management, the patient's neurological status did not improve, and he remained comatose and was eventually transitioned to palliative care.
Learning Points:
Bacterial meningitis can be complicated by rare events such as subdural hygroma and vasculitis.While surgical and medical interventions are essential, the outcomes often depend on the severity of initial infection and timely recognition of complications in order to adjust therapy as soon as possible.
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