Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics

Streptococcus pneumoniae are Gram-positive bacteria that are responsible for many types of illnesses including pneumonia, sinus infections, and community-acquired meningitis. One important complication of bacterial meningitis is intracranial vasculopathy. Possible etiologies include vasculitis, vaso...

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Main Authors: Mohamad Imran Idris, Sharon Mei Ling Tai, Chong Tin Tan, Kay Sin Tan
Format: Article
Language:English
Published: Karger Publishers 2020-12-01
Series:Case Reports in Neurology
Subjects:
Online Access:https://www.karger.com/Article/FullText/500950
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author Mohamad Imran Idris
Sharon Mei Ling Tai
Chong Tin Tan
Kay Sin Tan
author_facet Mohamad Imran Idris
Sharon Mei Ling Tai
Chong Tin Tan
Kay Sin Tan
author_sort Mohamad Imran Idris
collection DOAJ
description Streptococcus pneumoniae are Gram-positive bacteria that are responsible for many types of illnesses including pneumonia, sinus infections, and community-acquired meningitis. One important complication of bacterial meningitis is intracranial vasculopathy. Possible etiologies include vasculitis, vasospasm, endocarditis, or intra-arterial thrombosis. We present a case report of S. pneumoniae meningitis treated with antibiotics in which clinical improvement correlated with serial transcranial Doppler ultrasonography (TCD) improvement, suggesting vasospasm or vasculitis as a possible mechanism for intracranial vasculopathy.
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spelling doaj.art-4637390cbdd642d28517a45847ac31052022-12-21T23:06:16ZengKarger PublishersCase Reports in Neurology1662-680X2020-12-0112110610910.1159/000500950500950Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler HemodynamicsMohamad Imran IdrisSharon Mei Ling TaiChong Tin TanKay Sin TanStreptococcus pneumoniae are Gram-positive bacteria that are responsible for many types of illnesses including pneumonia, sinus infections, and community-acquired meningitis. One important complication of bacterial meningitis is intracranial vasculopathy. Possible etiologies include vasculitis, vasospasm, endocarditis, or intra-arterial thrombosis. We present a case report of S. pneumoniae meningitis treated with antibiotics in which clinical improvement correlated with serial transcranial Doppler ultrasonography (TCD) improvement, suggesting vasospasm or vasculitis as a possible mechanism for intracranial vasculopathy.https://www.karger.com/Article/FullText/500950meningitisstreptococcus pneumoniaetranscranial doppler
spellingShingle Mohamad Imran Idris
Sharon Mei Ling Tai
Chong Tin Tan
Kay Sin Tan
Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
Case Reports in Neurology
meningitis
streptococcus pneumoniae
transcranial doppler
title Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
title_full Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
title_fullStr Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
title_full_unstemmed Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
title_short Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
title_sort streptococcus pneumoniae meningitis and intracranial vasculopathy clinical correlation with improving transcranial doppler hemodynamics
topic meningitis
streptococcus pneumoniae
transcranial doppler
url https://www.karger.com/Article/FullText/500950
work_keys_str_mv AT mohamadimranidris streptococcuspneumoniaemeningitisandintracranialvasculopathyclinicalcorrelationwithimprovingtranscranialdopplerhemodynamics
AT sharonmeilingtai streptococcuspneumoniaemeningitisandintracranialvasculopathyclinicalcorrelationwithimprovingtranscranialdopplerhemodynamics
AT chongtintan streptococcuspneumoniaemeningitisandintracranialvasculopathyclinicalcorrelationwithimprovingtranscranialdopplerhemodynamics
AT kaysintan streptococcuspneumoniaemeningitisandintracranialvasculopathyclinicalcorrelationwithimprovingtranscranialdopplerhemodynamics