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...

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Main Authors: Parthasarathi Muthusamy (Author), Madhumitha Chellappan Subramaniam (Author), Ayyammal Palaniappan (Author), Ponnusamy Shanmugam (Author), Balasenthilkumaran Meda Rabindranath (Author), Balavinoth Ramakrishnan (Author), Ramakrishnan Tirupur Chinnappan Ramalingam (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2023-01-01T00:00:00Z.
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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.
Item Description:2349-6592
2455-7099
10.4103/jpcc.jpcc_26_23