Liliya Pekova
University hospital (Stara Zagora), Bulgaria
Title: Pneumococcal meningoencefalitis in 50-day-old baby ended with lethal outcome: A case report
Biography
Biography: Liliya Pekova
Abstract
Streptococcus pneumoniae (S. pneumoniae) is a usual agent of pneumonia, sinusitis and medial otitis. In children under two-year-old, it appears as a second bacterial agent which is responsible for neuro infections. We presented a case of S. pneumoniae meningoencephalitis as a primary localization in a 50-day-old breast-fed child. The illness began with high temperature and mild catarrh. Three days later convulsions without meningeal signs were demonstrated. Diagnosis was based on cerebral fluid changes and microbiological verification. In spite of triple antibacterial starting suitable to microbial sensitivity, neuro infection completed with lethal outcome. Laboratorial data–low levels of natrium, severe acidosis in conjunction with high level of protein, cells and low glucosis were considered as prognostic signs for unfavorable outcome. The baby was not vaccinated with synflorix because his age was small. Possibilities to use vaccine against S. pneumoniae earlier than usual were discussed.
Speaker Presentations
Speaker PPTs Click Here