title: Invasive pneumococcal disease complicated by cerebral vasculitis, transient diabetes insipidus and spondylodiscitis.
abstract: Invasive pneumococcal disease (IPD) is a potential life-threatening situation that requires immediate recognition and treatment. Cerebrovascular complications are uncommon and have been reported less frequently in adults than in children. We report a case of 59-year-old man with IPD complicated by cerebral vasculitis, transient central diabetes insipidus and spondylodiscitis. Each of these complications is rare and needs specific approach. Their association is even rarer and to the best of our knowledge this is the first case reported.
authors: Department of Medicine, Hospital Santo António, Porto, Portugal. sofiaribei@gmail.com
authors: Sofia
authors: S
authors: Ribeiro
authors: Vital
authors: V
authors: Domingues
authors: Raquel M
authors: RM
authors: Faria
authors: Teresa
authors: T
authors: Mendonça
mesh_terms: D000437:Alcoholism / Q000150:complications; D001167:Arteritis / Q000150:complications; D020790:Diabetes Insipidus, Neurogenic / Q000150:complications*; D015299:Discitis / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications*; D008875:Middle Aged; D020293:Vasculitis, Central Nervous System / Q000150:complications*
references: Neurocrit Care. 2006;4(3):237-40
references: 16757830
references: Clin Infect Dis. 1999 Apr;28(4):873-81
references: 10825053
references: Med Mal Infect. 2007 Feb;37(2):118-20
references: 17267155
references: Lancet Infect Dis. 2004 Mar;4(3):139-43
references: 14998499
references: Arch Intern Med. 2001 Apr 23;161(8):1114-5
references: 11322848
references: Am J Med. 1999 Jul 26;107(1A):12S-27S
references: 10451005
references: Am J Respir Crit Care Med. 2002 Mar 1;165(5):713-7
references: 11874820
references: Scand J Infect Dis. 2002;34(5):397-8
references: 12069031
references: Am J Dis Child. 1986 Jun;140(6):551-4
references: 3706234
references: N Engl J Med. 2006 Jan 5;354(1):44-53
references: 16394301
references: Clin Infect Dis. 2004 Nov 1;39(9):1267-84
references: 15494903
references: J Endocrinol Invest. 1999 Nov;22(10):800-2
references: 10614531
references: N Engl J Med. 1993 Sep 2;329(10):683-9
references: 8345854
references: Rev Prat. 2007 May 15;57(9):970-8
references: 17695676
references: PLoS Med. 2009 May 26;6(5):e1000081
references: 19468297
references: Ann Intern Med. 1993 May 1;118(9):701-6
references: 8460856
references: N Engl J Med. 1988 Oct 13;319(15):964-71
references: 3047581
references: Int J Infect Dis. 2009 Sep;13(5):564-9
references: 19071050
references: Arch Dis Child. 2000 Sep;83(3):231-3
references: 10952641
references: N Engl J Med. 2002 Nov 14;347(20):1549-56
references: 12432041
references: An Med Interna. 2007 Jan;24(1):27-30
references: 17373866
references: Arch Dis Child Educ Pract Ed. 2011 Oct;96(5):183-90
references: 21555595
references: N Engl J Med. 1991 May 30;324(22):1525-31
references: 2027357