title: Unusual exanthema combined with cerebral vasculitis in pneumococcal meningitis: a case report.
abstract: BACKGROUND
  Bacterial meningitis is a complex, rapidly progressive disease in which neurological injury is caused in part by the causative organism and in part by the host's own inflammatory responses.
  
  
  METHODS
  We present the case of a two-year-old Greek girl with pneumococcal meningitis and an atypical curvilinear-like skin eruption, chronologically associated with cerebral vasculitis. A diffusion-weighted MRI scan showed lesions with restricted diffusion, reflecting local areas of immunologically mediated necrotizing vasculitis.
  
  
  CONCLUSIONS
  Atypical presentations of bacterial meningitis may occur, and they can be accompanied by serious unexpected complications.
authors.affiliation: Paediatric Intensive Care Unit, University Hospital of Heraklion, University of Crete, Heraklion, Crete, Greece. ggbriass@otenet.gr.
authors.forename: Theonimfi
authors.initials: T
authors.lastname: Tavladaki
authors.forename: Anna-Maria
authors.initials: AM
authors.lastname: Spanaki
authors.forename: Stavroula
authors.initials: S
authors.lastname: Ilia
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Geromarkaki
authors.forename: Maria
authors.initials: M
authors.lastname: Raissaki
authors.forename: George
authors.initials: G
authors.lastname: Briassoulis