[A case of late onset group B streptococcus meningitis with transient oculomotor nerve palsy].
I report here a case of late onset Group B Streptococcus (GBS) meningitis with transient oculomotor nerve palsy. The boy was admitted to our hospital at 25 days of age. On the 5th hospital day, he was found to be unable to open the left eye. Although light reflex of both the eyes was intact, the left eye was deviated to the left lateral side. We administered intravenously steroid hormone and antibiotics. His eye movements were normalized on the 30th hospital day. Oculomotor nerve palsy in this case may have been caused by vasculitis of the middle cerebral artery. This case shows that steroid hormone is effective for vascular edema complicating neonatal meningitis.
Murakami
K
K
Nakano Children's Hospital, Osaka.
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000188:drug therapy; D015840:Oculomotor Nerve Diseases / Q000188:drug therapy / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D013292:Streptococcus agalactiae; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D003907:Dexamethasone