연쇄상구균 뇌수막염 후에 발생한 두개내 혈전증 및 뇌피질 출혈 1례

A Case of Intracerebral Thrombosis and Cortical Hemorrhage Complicated by Streptococcus pneumoniae Meningitis

저자들은 연쇄상구균 감염에 의한 패혈증과 뇌수막염으로 입원치료 하였던 환아에서 뇌피질의 출혈과 뇌혈관의 혈전이 발생한 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Streptococcus pneumoniae is the most common pathogen of bacterial meningitis in childhood. It causes such intracranial complications as hydrocephalus, cerebral edema, inappropriate secretion of antidiuretic hormone(SIADH), and convulsion, and also such cerebral vascular complications as vasculitis, thrombosis, aneurysm, infarction, and subarachnoid hemorrhage. We report a male of 4 months old who had intracerebral cortical hemorrhage and sinovenous thrombosis complicated by streptococcus pneumoniae meningitis. Also, we reviewed the literature on intracerebral vascular complications related to bacterial meningitis.