Abstract

Introduction

Streptococcus pneumoniae is an important pathogen that kills more than 1 million children each year worldwide. Childhood pneumococcal disease is a major cause of life threatening pneumonia, bacteremia and meningitis¹.

Invasive pneumococcal infection is defined as an infection confirmed by the isolation of Streptococcus pneumonia from a normally sterile site. Pneumococcal bacteremia can occur as a result of pneumococcal pneumonia or in its absence².

A 8 years old boy presented with fever and cough since 3 days. There was associated abdominal pain, vomitting, headache and altered sensorium. Patient was comatosed, dyspnoeic and pale. GCS- E1M2V1, PR-120/min, BP-70/50mmHg. No neck stiffness, deep tendon reflexes decreased. Pupils constricted but reacting. Lumbar puncture was done.