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.
Department of Ophthalmology, Clinica Alemana de Santiago and Universidad Del Desarrollo, Santiago, Chile.
Juan Pablo
JP
Lopez
Jorge
J
Roque
Jorge
J
Torres
Alex V
AV
Levin
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