Abstract

RODRIGUEZ FERNANDEZ, Olga María; FERRER MORELL, Odalis; PEREZ MORALES, Yuneixy  and  SANCHEN CASAS, Alexis. Meningoencefalitis por Streptococcus pneumoniae resistente: reporte de un caso. AMC [online]. 2011, vol.15, n.6, pp.1028-1036. ISSN 1025-0255.

Background: Streptococcus pneumoniae is the bacterium that resides in the upper respiratory system of healthy people, but turns into infection, when it reaches usually sterile locations such as the lower respiratory system, the circulatory, and the central nervous systems. This occurs in immunocompromised persons, for different reasons. Objective: to point out the Streptococcus pneumoniae's virulence resistant to drugs. Clinical case: it is presented a girl who arrived at the hospital with a respiratory process, of several days of evolution with fever and rhinorrhea, the girl was admitted in the respiratory ward. She started with dehydratation and sleepiness; a second lumbar puncture was made, a purulent cerebrospinal fluid and the presence of 202 cells, most of them polymorphonuclear, with decreased glucose and a protein augmentation, with Pandy xxxx, was observed. The girl gets worse and presented an intense cerebral edema, with enlarged fontanel, she was treated with antimicrobials such as vancomycin and ceftriaxone for several days. The microbiology laboratory confirmed the growth of Streptococcus pneumoniae sensitive to meronem and replaces ceftriaxone. Result: the patient gradually left his gravity until that she was discharged from hospital with follow-up and rehabilitation, by sequels. Conclusions: this dangerous pathogen with their attributes of virulence and its high resistance to antimicrobials is an emerging phenomenon.

Keywords : MENINGOENCEPHALITIS; STREPTOCOCCUS PNEUMONIAE; SPINAL PUNCTURE; VANCOMICYN; COMMUNICABLE DISEASES.

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