PDF(Pubmed)
Abstract：
Streptococcus pneumoniae (S. Pneumoniae) is a common cause of bacterial meningitis in the pediatric population, but rarely causes complications such as encephalitis, abscess, and seizures with the prompt initiation of proper antimicrobial therapy. In this report, we present a rare and severe case of S. Pneumoniae meningoencephalitis in a full term 6-month-old which progressed to multiple cerebral and cerebellar infarcts with concomitant cerebellar tonsillar herniation and hypercarbic respiratory failure requiring intubation and mechanical ventilation despite early initiation of antibiotics. Given the patient\'s clinical status and poor neurological prognosis, the family eventually opted for palliative extubation.
摘要：
肺炎链球菌(S.肺炎）是儿科人群中细菌性脑膜炎的常见原因，但很少引起并发症如脑炎，脓肿,和癫痫发作迅速开始适当的抗菌治疗。在这份报告中,我们报道了一例6个月足月的肺炎链球菌脑膜脑炎的罕见和严重病例,该病例进展为多发性脑和小脑梗塞,并伴有小脑扁桃体疝和高碳酸性呼吸衰竭,尽管早期开始使用抗生素,但仍需插管和机械通气.鉴于患者的临床状态和不良的神经系统预后，这个家庭最终选择了姑息性拔管。
