Meningoencephalitis caused by Streptococcus pneumoniae: A diagnostic and therapeutic challenge. Diagnosis with diffusion-weighted MRI leading to treatment with corticosteroids

Neuroradiology

Volumn 47, Issue 10, 2005, Pages 758-764

  Jorens, Philippe G ^a   Parizel, Paul M ^b   Demey, Hendrik E ^a   Smets, Katrien ^b,c   Jadoul, Kris ^c   Verbeek, M M ^d   Wevers, R A ^d   Cras, Patrick ^b  

^a ANTWERP UNIVERSITY HOSPITAL   (Belgium)

^b UNIVERSITY OF ANTWERP   (Belgium)

^c MIDDELHEIM HOSPITAL   (Belgium)

^d RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Encephalitis; Glucocorticoids; Meningitis; Meningoencephalitis; MRI; Streptococcus pneumoniae

Indexed keywords

AMOXICILLIN PLUS CLAVULANIC ACID; AMPICILLIN; ANTICOAGULANT AGENT; BIOLOGICAL MARKER; CEFTRIAXONE; CORTICOSTEROID; DEXAMETHASONE; GADOLINIUM PENTETATE; GLIAL FIBRILLARY ACIDIC PROTEIN; GLUCOCORTICOID; METHYLPREDNISOLONE; METHYLPREDNISOLONE SODIUM SUCCINATE; MYELIN; MYELIN BASIC PROTEIN; NEURON SPECIFIC ENOLASE; PENICILLIN G; PROTEIN S 100;

ADULT; AGED; ARTICLE; BACTERIAL MENINGITIS; BRAIN EDEMA; BRAIN INJURY; BRAIN ISCHEMIA; BRAIN NERVE CELL; BRAIN REGION; CASE REPORT; CEREBROSPINAL FLUID EXAMINATION; COMPUTER ASSISTED TOMOGRAPHY; CONVALESCENCE; CORTICOSTEROID THERAPY; CYTOTOXICITY; DIAGNOSTIC PROCEDURE; DIFFUSION WEIGHTED IMAGING; DISEASE ASSOCIATION; DISEASE SEVERITY; DRUG PULSE THERAPY; FEMALE; GLIA; HEART ATRIUM FIBRILLATION; HUMAN; HUMAN CELL; MALE; MEDICAL LITERATURE; MENINGOENCEPHALITIS; MORTALITY; NEUROLOGIC DISEASE; NONHUMAN; OCCLUSIVE CEREBROVASCULAR DISEASE; PARENCHYMA; PRIORITY JOURNAL; STREPTOCOCCUS PNEUMONIAE; TREATMENT PLANNING; VASCULAR NECROSIS; VASCULITIS;

ADULT; AGED; CONTRAST MEDIA; DIFFUSION MAGNETIC RESONANCE IMAGING; FEMALE; GLUCOCORTICOIDS; HUMANS; MALE; MENINGOENCEPHALITIS; METHYLPREDNISOLONE; MIDDLE AGED; STREPTOCOCCUS PNEUMONIAE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 27644474199     PISSN: 00283940     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00234-005-1423-3     Document Type: Article

References (24)

1. Rajnik M, Ottolini MG (2000) Serious infections of the central nervous system: Encephalitis, meningitis, and brain abscess. Adolesc Med: State Art Rev 11:401-425
2. Herrmann M, Vos P, Wunderlich MT, de Bruijn CH, Lamers KJ (2001) Release of glial tissue-specific proteins after acute stroke: A comparative analysis of serum concentrations of protein S-100B and glial fibrillary acidic protein. Stroke 31:2670-2677
3. Auburtin M, Porcher R, Bruneel F, Scanvic A, Traullet JL, Debos JP, Regnier B, Wolff M (2002) Pneumococcal meningitis in the intensive care unit. Prognostic factors of clinical outcome in series of 80 cases. Am J Respir Crit Care Med 165:713-717 11874820
4. Di Nubile MJ, Boom WH, Southwick FS (1990) Septic cortical thrombophlebitis. Infect Dis 161:1216-1220
5. Dodge PR, Swartz MN (1965) Bacterial meningitis: A review of selected aspects. N Engl J Med 272:954-960 14275833
6. Segall HD, Rumbaugh CL, Bergeron RT, Teal JS, Gwinn JL (1973) Brain and meningeal infections in children. Neuroradiology 6:8-16 10.1007/ BF00338852
7. Laky D, Filon V, Rãdulescu M, Socolovschi S, Hãlãlãu FL (1992) Up-to-date aspects of meningoencephalitis. Anat Clin Res Morphol Embryol 38:107-114
8. Kastenbauer S, Pfister HW (2003) Pneumococcal meningitis in adults: spectrum of complications and prognostic factors in a series of 87 cases. Brain 126:1015-1025 10.1093/brain/awg113
9. Cabral DA, Flodmark O, Farrell K, Speert DP (1987) Prospective study of computed tomography in acute bacterial meningitis. J Pediatr 111:201-205 3612390
10. Sigurdardóttir B, Már Björnsson Ó, Jónsdóttir KE, Erlendsdóttir H, Gudmundsson S (1997) Acute bacterial meningitis in adults. Arch Intern Med 157:425-430 10.1001/archinte.157.4.425
11. Teixeira J, Zimmerman RA, Haselgrove JC, Bilaniuk LT, Hunter JV (2001) Diffusion imaging in pediatric central nervous infections. Neuroradiology 43:1031-1039 10.1007/s002340100625
12. Müller-Jensen A, Harvarik R, Valk J (1997) Bilateral white matter lesions following severe meningococcal meningoencephalitis. Neuroradiology 39:23-24 10.1007/s002340050360
13. Abe M, Takayama Y, Yamashita H, Noguchi M, Sagoh T (2002) Purulent meningitis with unusual diffusion-weighted MRI findings. Eur J Radiol 44:1-4 10.1016/S0720-048X(01)00471-5
14. Chatterjee T, Gowardman JR, Goh TD (2003) Pneumococcal meningitis masquerading as subarachnoid haemorrhage. Med J Aust 178:505-507 12741939
15. Wanibuchi M, Kurokawa Y, Inaba K (2000) A case of Streptococcus pneumoniae meningitis showing a marked contrast enhancement effect of whole arachnoid membrane on MRI. Comput Med Imaging Graph 24:407-411 10.1016/S0895-6111(00)00033-1
16. Lamers KJ, van Engelen BG, Gabreels FJ, Hommes OR, Borm GF, Wevers RA (1995) Cerebrospinal neuron-specific enolase, S-100 and myelin basic protein in neurological disorders. Acta Neurol Scand 92:247-251 7484080
17. Tuomanen EI (1996) Molecular and cellular mechanisms of pneumococcal meningitis. Ann N Y Acad Sci 797:42-52 8993350
18. Dalakas MC (1997) Intravenous immune globulin therapy for neurologic diseases. Ann Intern Med 126:721-730 9139559
19. Lamberts SW, Bruisring HA, de-Jong FH (1997) Corticosteroid therapy in severe illness. N Engl J Med 337:1285-1289 10.1056/NEJM199710303371807
20. de Gans J, van de Beek D, The European Dexamethasone in Adulthood Bacterial Meningitis Study Investigators (2002) Dexamethasone in adults with bacterial meningitis. N Engl J Med 347:1549-1556 10.1056/ NEJMoa021334
21. Caselli RJ, Scheithauer BW, O'Duffy JD, Peterson GC, Westmoreland BF, Davenport PA (1993) Chronic inflammatory meningoencephalitis should not be mistaken for Alzheimer's disease. Mayo Clin Proc 68:846-853 8371602
22. Druschky K, Walloch J, Heckmann J, Schmidt B, Stefan H, Neundorfer B (2000) Chronic parvovirus B-19 meningoencephalitis with additional detection of Epstein-Barr virus DNA in the cerebrospinal fluid of an immunocompetent patient. J Neurovirol 6:418-422 11031695
23. Hahn JS, Siegler DJ, Enzmann D (1996) Intravenous gammaglobulin therapy in recurrent acute disseminated encephalomyelitis. Neurology 46:1173-1174 8780119
24. Jorens PG, Vanderborght A, Ceulemans B, Van Bever HP, Bossaert LL, Ieven M, Goossens M, Parizel PM, Van Dijk H, Raus J, Stinissen P (2000) Encephalomyelitis-associated antimyelin autoreactivity induced by streptococcal exotoxins. Neurology 54:1433-1441 10751252