Ventricular empyema presenting as a complication of pneumococcal meningitis in a toddler
Streptococcus pneumoniae is a major pathogen in the pediatric population causing life-threatening infections ranging from pneumonia and meningitis to sepsis, and it is now a vaccine-preventable infection. Recently, pneumococcus is emerging as a cause of multidrug-resistant infection, resistant to ≥3...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Pediatric Critical Care |
| Subjects: | |
| Online Access: | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2023;volume=10;issue=4;spage=174;epage=176;aulast=Muthusamy |
| Summary: | Streptococcus pneumoniae is a major pathogen in the pediatric population causing life-threatening infections ranging from pneumonia and meningitis to sepsis, and it is now a vaccine-preventable infection. Recently, pneumococcus is emerging as a cause of multidrug-resistant infection, resistant to ≥3 classes of antibiotics. Here, we discuss a case of ventricular empyema in a toddler due to S. pneumoniae. He was not vaccinated against pneumococcus. He had ventriculitis, ventricular empyema, and obstructive hydrocephalus. He was managed with external ventricular drainage of pus, followed by a ventriculoperitoneal shunt, and received 6 weeks of intravenous antibiotics, followed by oral antibiotics. He recovered with residual neurological sequelae and showed an improvement on follow-up visits. |
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| ISSN: | 2349-6592 2455-7099 |