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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.

European Journal of Case Reports in Internal Medicine
|March 7, 2025
PubMed

Insights

This case report details a rare instance of subdural hygroma and vasculitis complicating Streptococcus pneumoniae meningitis. Despite intensive care, these serious complications led to a poor neurological outcome, highlighting the challenges in managing bacterial meningitis.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Meningitis, particularly bacterial meningitis, can lead to severe neurological complications.
  • Subdural hygroma and vasculitis are rare but potentially fatal sequelae of meningitis.

Purpose of the Study:

  • To report a case of a 71-year-old male with Streptococcus pneumoniae meningitis.
  • To describe the development of bilateral subdural hygroma and vasculitis despite intensive care.

Main Methods:

  • Case report presentation.
  • Clinical observation and diagnosis of complications including seizures and persistent fever.
  • Management involving surgical and medical interventions.

Main Results:

  • The patient developed bilateral subdural hygroma and vasculitis.
  • Neurological status did not improve despite treatment, with the patient remaining comatose.
  • Transition to palliative care was necessary due to the poor prognosis.

Conclusions:

  • Bacterial meningitis can present with uncommon complications like subdural hygroma and vasculitis.
  • Timely recognition and management of these complications are crucial for patient outcomes.
  • Despite interventions, outcomes can be poor, emphasizing the severity of the initial infection.
Keywords:
Meningitishygromavasculitis

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