Severe, widespread vasculopathy in late-onset group B streptococcal meningitis.
Although improvements in antimicrobial therapy during the last few decades have decreased mortality in childhood bacterial meningitis, some patients are left with neurologic sequelae. Cerebrovascular complications are often associated with unfavorable clinical outcome of the disease. We report a 36-day-old infant with severe, widespread cerebrovascular complications due to group B streptococcal meningitis. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) contributed to a non-invasive demonstration of meningeal inflammatory changes and vascular lesions with the meningitis in this patient.
Department of Pediatrics, Hamamatsu University School of Medicine, Hamamatsu, Japan. sige_pd@yahoo.co.jp
Shigeo
S
Iijima
Masami
M
Shirai
Takehiko
T
Ohzeki
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000150:complications*; D013290:Streptococcal Infections / Q000150:complications*; D013292:Streptococcus agalactiae; D014057:Tomography, X-Ray Computed