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Acute severe spinal cord dysfunction in a child with meningitis: Streptococcus pneumoniae and Mycoplasma pneumoniae co‐infection
Author(s) -
Manteau Celine,
Liet Jean Michel,
Caillon Jocelyne,
M'guyen Sylvie,
Quere Marie Pierre,
Roze Jean Christophe,
GrasLe Guen Christèle
Publication year - 2005
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2005.tb02099.x
Subject(s) - medicine , mycoplasma pneumoniae , tetraplegia , ceftriaxone , streptococcus pneumoniae , meningitis , dexamethasone , erythromycin , serology , mycoplasmataceae , spinal cord , immunology , surgery , antibiotics , mycoplasma , microbiology and biotechnology , spinal cord injury , pneumonia , mollicutes , antibody , psychiatry , biology
Tetraplegia developed abruptly in an 11‐y‐old with pneumococcal meningitis. Magnetic resonance imaging showed multiple hyperintensities at the brainstem–spinal cord junction. Serological tests were positive for Mycoplasma pneumoniae (microparticle agglutination and specific IgMs). Erythromycin and dexamethasone were started promptly, and 10 d later the patient was discharged with normal neurological function. Conclusion: Tetraplegia during the course of pneumococcal meningitis in an 11‐y‐old girl disappeared after treatment with ceftriaxone, erythromycin and dexamethasone.