Intracranial Complication of Streptococcus Pneumoniae Sinusitis in Immunocompetent Child : A Case Report

2021 ◽  
Vol 8 (2) ◽  
pp. 57-62
Author(s):  
Somili , Nora Yahya ◽  
Alharbi , Nada Abdullah
PEDIATRICS ◽  
1976 ◽  
Vol 58 (3) ◽  
pp. 378-381 ◽  
Author(s):  
Abel Paredes ◽  
Larry H. Taber ◽  
Martha D. Yow ◽  
Dorothy Clark ◽  
William Nathan

For more than 30 years, penicillin has been the agent of choice for pneumococcal infections. During this time the majority of strains of Streptococcus pneumoniae have been highly susceptible to penicillin. However, during the last ten years there have been sporadic reports of pneumococci with increased resistance to penicillin. The case report of an 18-month-old white boy with meningitis due to a strain of S. pneumoniae with increased resistance to penicillin is presented. The MIC of the organism to penicillin was 0.2µg/ml and the MBC 0.39µg/ml. The patient had normal immunity and no demonstrable sequestered focus of infection but failed to respond to appropriate doses of intravenous penicillin. Treatment with chloramphenicol caused a dramatic bacteriologic and clinical response. This experience reemphasizes the existence of pneumococcal strains of intermediate penicillin sensitivity and the importance of in vitro susceptibility tests.


2018 ◽  
Vol 4 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Ioana Raluca Chirteș ◽  
Dragos Florea ◽  
Carmen Chiriac ◽  
Oana Maria Mărginean ◽  
Cristina Mănășturean ◽  
...  

AbstractBackground: Known also as Osler’s triad, Austrian syndrome is a complex pathology which consists of pneumonia, meningitis and endocarditis, all caused by the haematogenous dissemination of Streptococcus pneumoniae. The multivalvular lesions are responsible for a severe and potential lethal outcome.Case report: The case of a 51-year-old female patient, with a past medical history of splenectomy, is presented. She developed bronchopneumonia, acute meningitis and infective endocarditis as a result of Streptococcus pneumoniae infection and subsequently developed multiple organ dysfunction syndromes which led to a fatal outcome. Bacteriological tests did not reveal the etiological agent. The histopathological examination showed a severe multivalvular endocarditis, while a PCR based molecular analysis from formalin fixed valvular tissue identified Streptococcus pneumoniae as the etiologic agent.Conclusions: The presented case shows a rare syndrome with a high risk of morbidity and mortality. Following the broad-spectrum treatment and intensive therapeutic support, the patient made unfavourable progress which raised differential diagnosis problems. In this case, the post-mortem diagnosis demonstrated multiple valvular lesions occurred as a result of endocarditis.


2013 ◽  
Vol 2 (2) ◽  
pp. 144-6 ◽  
Author(s):  
Selda Hancerli Torun ◽  
Bahar Calıskan ◽  
Ayper Somer ◽  
Nuran Salman ◽  
Nezahat Guler

2003 ◽  
Vol 22 (3) ◽  
pp. 282-284 ◽  
Author(s):  
Dan Miron ◽  
Igor Dashkovsky ◽  
Miriam Zuker ◽  
Sergio Szvalb ◽  
Carlos Cozacov

2018 ◽  
Vol 22 ◽  
pp. 48-51
Author(s):  
José Antonio Vargas Soler ◽  
William Javier Morales Camacho ◽  
Claudia Ximena Flórez Rodríguez ◽  
Johana Andrea Navarro Mejía ◽  
Carlos Fernando Guerrero ◽  
...  

2016 ◽  
Vol 102 (5) ◽  
Author(s):  
Olavegogeascoechea PA ◽  
Puyo CF ◽  
Serrano Riveros P ◽  
Núñez WD ◽  
Lomban E

2018 ◽  
Vol 76 (2) ◽  
pp. 234-236
Author(s):  
Claudie Lamoureux ◽  
Charlotte Flatrès ◽  
Sophie Vallet ◽  
Adissa Tran - Minoui ◽  
Christopher Payan ◽  
...  

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