title: Pneumococcal meningitis with a prolonged course in splenectomized patient.
abstract: A 22-year-old woman had a remarkable late and poor inflammatory response to pneumococci invading the cerebrospinal fluid. Splenectomy 5 years previously following trauma and oral doxycycline therapy for 4 days prior to admission may explain the usual course. The importance of correct handling and of giving proper information to the splenectomized patient is stressed.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008586:Meningitis, Pneumococcal / Q000134:cerebrospinal fluid / Q000188:drug therapy*; D013156:Splenectomy