Journal of The Academy of Clinical Microbiologists

Register      Login

VOLUME 18 , ISSUE 2 ( July-December, 2016 ) > List of Articles

CASE REPORT

Subdural effusion in a case of meningococcemia

Heera Hassan, Reena John, K Prithi Nair

Keywords : Acute pyogenic meningitis, latex agglutination test, meningococcemia, Neisseria meningitidis

Citation Information : Hassan H, John R, Nair KP. Subdural effusion in a case of meningococcemia. 2016; 18 (2):121-123.

DOI: 10.4103/0972-1282.194947

License: CC BY-NC 4.0

Published Online: 17-08-2024

Copyright Statement:  Copyright © 2016; Wolters Kluwer India Pvt. Ltd.


Abstract

Neisseria meningitidis is one of the primary pathogens of pyogenic meningitis and has the potential to cause large epidemics. There are 13 serogroups of N. meningitidis that have been identified, six of which (A, B, C, W, X and Y) can cause epidemics. We report a case of acute pyogenic meningitis caused by N. meningitidis in a six-month-old male child who presented with fever of four-day duration and irritable cry for one day. N. meningitidis was isolated from his blood using automated blood culture system. Latex agglutination test for N. meningitidis antigen was positive from cerebrospinal fluid. The baby responded well to Ceftriaxone but developed subdural effusion.


PDF Share
  1. WHO Weekly Epidemiological Record 2015; 27 March, 2015, 90 th Year; No. 13. Vol. 90. 2015. p. 121-32. Available from: http://www.who.int/wer. [Last cited on 2015 Apr 22].
  2. Meningococcus. Medical Staff Conference, University of California, San Francisco; October, 1977. p. 314-24.
  3. Johri S, Gorthi SP, Anand AC. Meningococcal meningitis. Med J Armed Forces India 2005;61:369-74.
  4. Wellcogen TM Bacterial Antigen Kit Manual REF ZL26/R30859602; IFU X77138 Manufactured by Remel Europe Ltd., UK.
  5. Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 7 th ed., Vol. 1. Philadelphia: Elsevier Churchill Livingstone; 2010. p. 1189-229.
  6. Procop GW, Church DL, Hall GS, et al. Koneman's Colour Atlas And Textbook of Clinical Microbiology. 7th edition. Philadelphia: Wolter Kluwer Health; 2017: p620
  7. John TJ. Letters to the editor - Subdural effusion or empyema in infants. Indian Paediatr 2004;41:968-70. Available from: http://www.indianpaediatrics.net/sep2004/sep-968-970.htm. [Last cited on 2016 Apr 07].
  8. Rafeeda KM, Manjusree S, Raveendran G, Ramani Bai JT. Meningococcal meningitis without rash. J Acad Clin Microbiol 2015;17:130-1. Available from: http://www.jacmjournal.org/text.asp?2015/17/2/130/171905. [Last cited on 2016 Jun 28].
  9. Steinberg SH, Murphy JP. Subdural hygroma complicating meningococcic meningitis. J Neurosurg 1951;8:671-4.
  10. Perez-Pico V, Llausas-Magana E, Leon-Ramirez A, Perez-Gaxiola G, Leon-Sicairos N. Meningococcal meningitis complicated with subdural effusion: A report of two infant cases. J Infect Dev Ctries 2007;1:74-7.
  11. Updated by: Campellone JV. A Subdural Effusion: Medline Plus Medical Encyclopedia; 2016. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/001422.htm. [Last cited on 2016 Apr 11].
  12. De Bonis P, Sturiale CL, Anile C, Gaudino S, Mangiola A, Martucci M, et al. Decompressive craniectomy, interhemispheric hygroma and hydrocephalus: A timeline of events? Clin Neurol Neurosurg 2013;115:1308-12.
  13. Sharma P, Mishra A, Arora G, Tripathi M, Bal C, Kumar R. Post meningitis subdural hygroma: Anatomical and functional evaluation with 99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography. Indian J Nucl Med 2013;28:23-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.