Pneumococcal meningitis

From WikiLectures

Etiology and epidemiology[edit | edit source]

  • G+ pneumococcus, Streptococcus pneumoniae
  • affects predominantly adults
  • is preceded by inflammation of paranasal sinuses, mastoitis, less often other pneumococcal infections

Clinical symptoms[edit | edit source]

  • the course is quite slow, the disease develops within a few days
  • fever rises, headaches occur, vomiting, or meningeal syndrome
  • in case of direct transmission of the infection to the meninges (after trauma, collaps of an abscess) the development is rapid, within hours.

Diagnosis[edit | edit source]

  • positive agar cultivation finding of pneumococcus (from the cerebrospinal fluid)

Therapy[edit | edit source]

  • it is necessary to remove the primary lesion – mastoidectomy, fracture repair, sinusitis
  • BenzylPNC is effective in our country (but in high doses of 500 000IU/kg/day via rapid infusions)
  • chloramphenicol or III. generation cefalosporins – always at least 14 days i.v.

Prognosis[edit | edit source]

  • is not favorable, up to 20% of those affected die, it is even worse for the elderly or splenect pacients

Prevention[edit | edit source]

  • polyvalent Pneumo23 vaccine for children above 2 years of age and for risk groups among adults

Links[edit | edit source]

Related articles[edit | edit source]

Source[edit | edit source]

  • BENEŠ, Jiří. Studijní materiály [online]. ©2007. [cit. 2010]. <>.

Literature[edit | edit source]

  • HRODEK, Otto – VAVŘINEC, Jan, et al. Pediatrie. 1. edition. Praha : Galén, 2002. ISBN 80-7262-178-5.
  • ŠAŠINKA, Miroslav – ŠAGÁT, Tibor – KOVÁCS, László, et al. Pediatria. 2. edition. Bratislava : Herba, 2007. ISBN 978-80-89171-49-1.