A pneumococcal meningoencephalitis with a small spleen. Issue 4 (1st April 2019)

• Record Type: Journal Article
• Authors: Tsunoda, Keiichiro; Sato, Kota; Takahashi, Yoshiaki; Tadokoro, Koh; Sasaki, Ryo; Nomura, Emi; Takemoto, Mami; Hishikawa, Nozomi; Ohta, Yasuyuki; Yamashita, Toru; Abe, Koji
• Is Part Of: Neurology and clinical neuroscience. Volume 7:Issue 4(2019:Jul.)
• Page Start: 215
• Page End: 217
• Publication Date: 2019-04-01
• Subjects: age -- meningoencephalitis -- sinusitis -- small spleen -- Streptococcus pneumoniae; Neurology -- Periodicals; Neurosciences -- Periodicals; 616.8
• DOI: 10.1111/ncn3.12290
• Languages: English
• ISSNs: 2049-4173

Abstract

Abstract: Streptococcus pneumoniae is a major cause of bacterial meningitis usually in children or elder adults. We report a case of a 38‐year‐old man having pneumococcal meningoencephalitis with a small spleen (35 cm 3 ), compared to seven previous patients with pneumococcal meningitis in our department. Among the eight patients, four cases were due to sinusitis, but the origin could not be identified in the other four cases, including the present case who was the youngest patient with the smallest splenic size. Of interest in the present analysis was the negative or positive correlation between splenic size and age, with or without sinusitis. This is the first report on pneumococcal meningoencephalitis that takes into consideration age, splenic size, and the origin of infection.