Journal of medical case reports · 2011
Unusual exanthema combined with cerebral vasculitis in pneumococcal meningitis: a case report.
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Tavladaki Theonimfi, Spanaki Anna-Maria, Ilia Stavroula, Geromarkaki Elisabeth, Raissaki Maria, Briassoulis George
Аннотация
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.
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.