| Postpartum maternal pneumococcal meningitis complicated by endocarditis. | |
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MedLine Citation:
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PMID: 21275926 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Bacterial meningitis is associated with high morbidity and mortality. Few cases of pneumococcal meningitis during pregnancy and the postpartum period have been reported. We describe a case of postpartum pneumococcal meningitis complicated by endocarditis. A 26-year-old para-2 woman who had had a normal vaginal delivery at 38 weeks at a maternity home was transported to our hospital with a 39.5°C fever 11 days postpartum. Eight hours after her arrival, her state of consciousness deteriorated rapidly. Lumbar puncture revealed Gram-positive cocci consistent with Streptococcus pneumoniae. She was immediately treated with antibiotics and subsequently diagnosed with endocarditis. Final culture results from the blood and cerebrospinal fluid confirmed the presence of S. pneumoniae. She recovered completely with no evidence of neurological damage. Maintaining a high clinical suspicion and initiating appropriate diagnostic testing and therapeutic interventions promptly are essential to reducing the morbidity and mortality associated with bacterial meningitis. |
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Authors:
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Jun Kakogawa; Seiya Orito; Norio Masuya; Miyuki Sadatsuki; Hideto Gomibuchi; Shigeki Minoura |
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Publication Detail:
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Type: Journal Article Date: 2010-11-26 |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 90 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: England |
Other Details:
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Languages: eng Pagination: 118-20 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2010 Nordic Federation of Societies of Obstetrics and Gynecology. |
Affiliation:
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Department of Obstetrics and Gynecology, National Center for Global Health and Medicine, Shinjuku, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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