학술논문

Streptococcus pneumoniae Meningitis and Intracranial Vasculopathy: Clinical Correlation with Improving Transcranial Doppler Hemodynamics
Document Type
Clinical report
Source
Case Reports in Neurology. December 2020, Vol. 12 Issue Suppl 1, p106, 4 p.
Subject
Malaysia
Language
English
Abstract
Author(s): Mohamad Imran Idris; Sharon Mei Ling Tai; Chong Tin Tan; Kay Sin Tan Introduction Streptococcus pneumoniae , or pneumococcus, are Gram-positive bacteria that are responsible for many types of [...]
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. Keywords: Meningitis, Streptococcus pneumoniae, Transcranial Doppler