title: Report of two cases of aseptic meningitis with persistence of pneumococcal cell wall components in cerebrospinal fluid after Pneumococcal meningitis.
abstract: We describe two cases of aseptic meningitis occurring some time after pneumococcal meningitis. Both cases may have resulted from an inflammatory response to persistent pneumococcal cell membrane components, as the cerebrospinal fluid samples were positive by the Binax NOW Streptococcus pneumoniae antigen test. Potential mechanisms and diagnostic impact are discussed.
authors.affiliation: Service de Pédiatrie Générale, Hôpital Robert Debré, 48 Boulevard Sérurier, 75019 Paris, France. francois.angoulvant@rdb.aphp.fr
authors.forename: François
authors.initials: F
authors.lastname: Angoulvant
authors.forename: Julie
authors.initials: J
authors.lastname: Lachenaud
authors.forename: Patricia
authors.initials: P
authors.lastname: Mariani-Kurkdjian
authors.forename: Guillaume
authors.initials: G
authors.lastname: Aubertin
authors.forename: Véronique
authors.initials: V
authors.lastname: Houdouin
authors.forename: Mathie
authors.initials: M
authors.lastname: Lorrot
authors.forename: Laure
authors.initials: L
authors.lastname: de Los Angeles
authors.forename: Edouard
authors.initials: E
authors.lastname: Bingen
authors.forename: Antoine
authors.initials: A
authors.lastname: Bourrillon
authors.forename: Albert
authors.initials: A
authors.lastname: Faye
mesh_terms: D000942:Antigens, Bacterial / Q000134:cerebrospinal fluid*; D002473:Cell Wall / Q000737:chemistry; D005260:Female; D006801:Humans; D007223:Infant; D008582:Meningitis, Aseptic / Q000134:cerebrospinal fluid / Q000382:microbiology*; D008586:Meningitis, Pneumococcal / Q000134:cerebrospinal fluid / Q000382:microbiology*; D011135:Polysaccharides, Bacterial / Q000134:cerebrospinal fluid*
chemical_list: D000942:Antigens, Bacterial; D011135:Polysaccharides, Bacterial; C027158:polysaccharide C-substance (Streptococcus)