Pneumococcal meningoencefalitis in a 50-days-old baby with lethal outcome – case report

S. pneumoniae is one of the leading causes of bacterial meningitis.In children under 2-year-old it appears as the second bacterial agent who is responsible for neuroinfections.Pneumococcal meningitis is an important clinical condition which progresses rapidly and can result in death or significant morbidity if it is not treated as a medical emergency.Aim: The purpose of this study is to describe a case of S. pneumoniae meningoencephalitis as a primary localization in a 50-day-old breast fed child and to discuss the possibilities to escape such illness in this young age.Methodology: Clinical, epidemiological, laboratorial, microbiological and instrumental investigations were completed.Findings: The illness began with high temperature and mild catarrh.Three days later convulsions without meningeal signs were demonstrated.Diagnosis was based on cerebral fluid changes and microbiological verification.In spite of triple antibacterial starting suitable to microbial sensitivity neuroinfection completed with lethal outcome.Laboratorial data -low levels of natrium, severe acidosis in conjunction with high level of protein, cells and low glucosis were considered as prognostic signs for unfavourable outcome.The baby had not been vaccinated with Sinflorix because his insufficient age. Conclusion:Using vaccine against S. pneumoniae for adults is the right solution for prevention pneumococcal diseases at babies at very young under-vaccinating age.