DOI: 10.12890/2025_005132

Streptococcus pneumoniae meningitis complicated by hygroma and vasculitis

Authors

  • Abdelkader Dib Department of Pulmonary Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon
  • Johny Salem Department of Gastroenterology, Faculty of Medicine, University of Balamand, Beirut, Lebanon
  • Mohamad Dawood Department of Internal Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon
  • Omar Osman Department of Internal Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon
  • Mirna Fares Department of Pulmonary Medicine, Faculty of Medicine, University of Balamand, Beirut, Lebanon

Mirnafarespub@gmail.com

Keywords

Meningitis, hygroma, vasculitis

Abstract

Hygroma and vasculitis are rare complications of meningitis, that are serious and potentially fatal. In this case report, we present a 71-year-old male diagnosed with Streptococcus pneumoniae meningitis who developed bilateral subdural hygroma and vasculitis despite appropriate treatment in the intensive care unit. The patient experienced seizures and persistent febrile episodes, leading to the diagnosis of these complications. Despite surgical and medical management, the patient’s neurological status did not improve, and he remained comatose and was eventually transitioned to palliative care.

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References

  1. Hersi K, Gonzalez FJ, Kondamudi NP. Meningitis. [Updated 2023 Aug 12]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459360/
  2. Kim KS. Pathogenesis of bacterial meningitis: from bacteraemia to neuronal injury. Nat Rev Neurosci 2003;4:376-385.
  3. Weisfelt M, van de Beek D, Spanjaard L, Reitsma JB, de Gans J. Clinical features, complications, and outcome in adults with pneumococcal meningitis: a prospective case series. Lancet Neurol 2006;5(2):123-9. doi: 10.1016/S1474-4422(05)70288-X. PMID: 16426988.
  4. Steinberg SH, Murphy JP. Subdural hygroma complicating meningococcic meningitis. J Neurosurg 1951;8:671-674.3
  5. Khedher A, Sma N, Slama D, Fraj N Hachfi W, Boussarsas M. Cerebral vasculitis complicationg pneumococcal meningitis. EJCRIM 2018;5:10.12890/2018_000819.
  6. Schut ES, Lucas MJ, Brouwer MC, Vergouwen MD, van der Ende A, van de Beek D. Cerebral infarction in adults with bacterial meningitis. Neurocrit Care 2012;16:421-427.
  7. Pfister HW, Borasio GD, Dirnagl U, Bauer M, Einhäupl KM. Cerebrovascular complications of bacterial meningitis in adults. Neurology 1992;42:1497-1504.
  8. Mukherjee D, Saha A. Cerebral Vasculitis in a Case of Meningitis. Iran J Child Neurol 2017;11:81-84.
  9. Artiaga A, Herman F, Arquizan C, Thouvenot E, Loubet P, Le Moing V, et al. Cerebral vasculitis as a complication of pneumococcal meningitis: A cohort study. Infect Dis Now 2023;53:104772.
  10. Hummel BA, Blackburn J, Pham-Huy A, Muir K. High-dose steroid and heparin: a novel therapy for cerebral vasculitis associated with presumed group A Streptococcus meningitis. BMJ Case Rep 2021;14:e239618.

Published

2025-02-04

How to Cite

1.
Dib A, Salem J, Dawood M, Osman O, Fares M. Streptococcus pneumoniae meningitis complicated by hygroma and vasculitis. EJCRIM [Internet]. 2025 Feb. 4 [cited 2026 Nov. 3];12(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5132

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