Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis
Meningitis is an inflammatory disease of the leptomeninges surrounding the spinal cord and brain. Streptococcus pneumoniae (S. pneumoniae) is the most common cause of bacterial meningitis in infants and children older than one month. In this report, we present a 13-month-old infant who, after receiv...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2023-06-01
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| Series: | The Journal of Pediatric Academy |
| Subjects: | |
| Online Access: | https://jpediatricacademy.com/index.php/jpa/article/view/205 |
| _version_ | 1797768962403991552 |
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| author | Fatma Kılınç Nisa Nur Tapaç Ümmühan Çay Özlem Özgür Gündeşlioğlu Derya Alabaz |
| author_facet | Fatma Kılınç Nisa Nur Tapaç Ümmühan Çay Özlem Özgür Gündeşlioğlu Derya Alabaz |
| author_sort | Fatma Kılınç |
| collection | DOAJ |
| description | Meningitis is an inflammatory disease of the leptomeninges surrounding the spinal cord and brain. Streptococcus pneumoniae (S. pneumoniae) is the most common cause of bacterial meningitis in infants and children older than one month. In this report, we present a 13-month-old infant who, after receiving three doses of the 13-valent conjugated pneumococcal vaccine, had nervus hypoglossus paralysis as a result of serotype 7 S. pneumoniae meningitis. She was admitted into our center with complaints of high fever for 2 days, apathy that started in the last 24 hours, and a tendency for sleeping. Penicillin and ceftriaxone susceptible S. pneumoniae grew in cerebrospinal fluid culture. Antibiotic treatment was completed in six weeks as she had a millimetric abscess in MR imaging. Considering common variable immunodeficiency in the patient who was examined for immunodeficiency, intravenous immunoglobulin treatment was started. The physical examination results of the patient were entirely improved. In conclusion, meningitis is a pediatric emergency with a high mortality and complication rate. If meningitis is managed on time and correctly it can heal without sequelae. Vaccination is crucial for prevention. Despite vaccination, although rare, infection with vaccine strains may occur. Patients infected with vaccine strains may require evaluation in terms of immunodeficiency. |
| first_indexed | 2024-03-12T21:01:57Z |
| format | Article |
| id | doaj.art-5f1a21ebce6c4396b42060dfa521f4ae |
| institution | Directory Open Access Journal |
| issn | 2718-0875 |
| language | English |
| last_indexed | 2024-03-12T21:01:57Z |
| publishDate | 2023-06-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | The Journal of Pediatric Academy |
| spelling | doaj.art-5f1a21ebce6c4396b42060dfa521f4ae2023-07-31T06:38:08ZengGalenos Publishing HouseThe Journal of Pediatric Academy2718-08752023-06-0142778010.4274/jpea.2023.205155Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve ParalysisFatma Kılınç0https://orcid.org/0000-0001-7059-245XNisa Nur Tapaç1https://orcid.org/0000-0002-7464-2394Ümmühan Çay2https://orcid.org/0000-0001-5803-878XÖzlem Özgür Gündeşlioğlu3https://orcid.org/0000-0003-2202-7645Derya Alabaz4https://orcid.org/0000-0003-4809-2883Çukurova University Faculty of Medicine, Department of Pediatric Infection, Adana, TurkeyÇukurova University Faculty of Medicine, Department of Pediatric Infection, Adana, TurkeyÇukurova University Faculty of Medicine, Department of Pediatric Infection, Adana, TurkeyÇukurova University Faculty of Medicine, Department of Pediatric Infection, Adana, TurkeyÇukurova University Faculty of Medicine, Department of Pediatric Infection, Adana, TurkeyMeningitis is an inflammatory disease of the leptomeninges surrounding the spinal cord and brain. Streptococcus pneumoniae (S. pneumoniae) is the most common cause of bacterial meningitis in infants and children older than one month. In this report, we present a 13-month-old infant who, after receiving three doses of the 13-valent conjugated pneumococcal vaccine, had nervus hypoglossus paralysis as a result of serotype 7 S. pneumoniae meningitis. She was admitted into our center with complaints of high fever for 2 days, apathy that started in the last 24 hours, and a tendency for sleeping. Penicillin and ceftriaxone susceptible S. pneumoniae grew in cerebrospinal fluid culture. Antibiotic treatment was completed in six weeks as she had a millimetric abscess in MR imaging. Considering common variable immunodeficiency in the patient who was examined for immunodeficiency, intravenous immunoglobulin treatment was started. The physical examination results of the patient were entirely improved. In conclusion, meningitis is a pediatric emergency with a high mortality and complication rate. If meningitis is managed on time and correctly it can heal without sequelae. Vaccination is crucial for prevention. Despite vaccination, although rare, infection with vaccine strains may occur. Patients infected with vaccine strains may require evaluation in terms of immunodeficiency.https://jpediatricacademy.com/index.php/jpa/article/view/205streptococcus pneumoniaemeningitisnervus hypoglossus paralysis |
| spellingShingle | Fatma Kılınç Nisa Nur Tapaç Ümmühan Çay Özlem Özgür Gündeşlioğlu Derya Alabaz Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis The Journal of Pediatric Academy streptococcus pneumoniae meningitis nervus hypoglossus paralysis |
| title | Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis |
| title_full | Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis |
| title_fullStr | Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis |
| title_full_unstemmed | Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis |
| title_short | Pneumococcal Meningitis with Serotype 7 Who Develops 12. Nerve Paralysis |
| title_sort | pneumococcal meningitis with serotype 7 who develops 12 nerve paralysis |
| topic | streptococcus pneumoniae meningitis nervus hypoglossus paralysis |
| url | https://jpediatricacademy.com/index.php/jpa/article/view/205 |
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