Pneumococcal Meningitis in 18 Year-Old Young Pregnant Woman

• Main Authors: M. Gökhan GÖZEL, Nazif ELALDI, İbrahim BÜYÜKHAN, Aynur ENGİN, Mehmet BAKIR, İlyas DÖKMETAŞ
• Format: Article
• Language: English
• Published: Bilimsel Tip Yayinevi 2012-03-01
• Series: Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
• Subjects: Streptococcus pneumoniae; Meningitis; Pregnancy
• Online Access: http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2012-17-01-046-050.pdf
• ISSN: 1300-932X; 1300-932X

Community acquired bacterial meningitis is associated with high morbidity and mortality, and the most common bacterial pathogen is Streptococcus pneumoniae. Few case reports and two small case series of pneumococcal meningitis during pregnancy have been reported in the literature. This is the first case report of pneumococcal meningitis in an 18 year-old pregnant woman from Turkey. She was admitted to our emergency department at 33rd week of gestation with the complaints of fever, nausea, vomiting and sudden onset of confusion. The diagnosis of acute bacterial meningitis was made according to the findings of lumbar puncture. Empirical treatment with ceftriaxone (2 x 2 g/day) and vancomycin (4 x 500 mg/day) were started immediately. Caesarean section was performed on the sixth day of hospitalization (34th week of gestation) because of the premature rupture of membrane. Both mother and the infant survived without any sequela. Successful results for both mother and infant can be achieved with early diagnosis and appropriate treatment in cases of pneumococcal meningitis during pregnancy.