Title: Expect the Worse-A Case of Unexpected Death of A Eight Year Old Boy Due to Invasive Pneumococcal Infection

Authors: Dr Ceena.V.Netto, Dr Geetha Bhai, Dr Ramani Bai. J.T

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.40

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.

References

  1. Hava D,Le Mieux J,Camilli.A: From nose to lung: The regulation behind Streptococcus pneumoiae virulence factors(review).Mol Microbiol 2003;50:1103.
  2. Musher DM: Streptococcus pneumoniae. In Mandell, Douglas,and Bennetts Principles and Practice of Infectious Diseases,6thed.Mandell GL,Bennet JE,Dolin R(editors).Churchill Livingstone,2005

Corresponding Author

Dr Ceena.V. Netto

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