Severe retinal hemorrhages in infants with aggressive, fatal Streptococcus pneumoniae meningitis.
Retinal hemorrhages in children occasionally accompany bacterial meningitis, usually due to hemophilus or meningococcal organisms. The hemorrhages may be intraretinal, usually in the posterior pole of the eye and few in number, or, more uncommonly, subhyaloid or vitreous. Pathogenesis may include vasculitis, disseminated intravascular coagulation, or intracranial hypertension. We report 2 cases of bilateral severe retinal hemorrhages in fatal Streptococcus pneumoniae meningitis.
Lopez
Juan Pablo
JP
Department of Ophthalmology, Clinica Alemana de Santiago and Universidad Del Desarrollo, Santiago, Chile.
Roque
Jorge
J
Torres
Jorge
J
Levin
Alex V
AV
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications*; D011008:Pneumococcal Infections / Q000150:complications*; D012160:Retina / Q000473:pathology; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000382:microbiology*; D012720:Severity of Illness Index; D013296:Streptococcus pneumoniae