Open AccessPneumocephalus Associated with Aggressive Pneumococcal Meningitis
Author(s) -
Isabel Taveira,
Hipólito Nzwalo,
José Sousa e Costa,
Pedro Moreira
Publication year - 2020
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2020_001677
Subject(s) - pneumocephalus , medicine , meningitis , streptococcus pneumoniae , delirium , antibiotics , intensive care unit , cerebrospinal fluid , pneumococcal conjugate vaccine , surgery , anesthesia , computed tomography , intensive care medicine , microbiology and biotechnology , biology
A 44-year-old woman presented with headache and delirium. Brain tomography indicated pneumocephalus, while blood and cerebrospinal fluid cultures revealed Streptococcus pneumoniae. Despite antibiotic treatment and admission to the intensive care unit, the patient died 3 days later. Pneumocephalus in association with meningitis is very rare and may be caused by gas produced by microorganisms.