Gogia Bhanu, Young Angela L, O'Brien Barbara J, Okhuysen Pablo C, Kumar Vinodh A
Department of Neurology, University of Texas Medical Branch, Galveston, Texas, USA.
Department of Neuroradiology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Case Rep Neurol. 2021 Aug 24;13(2):572-577. doi: 10.1159/000518312. eCollection 2021 May-Aug.
Cerebral ischemia is a known complication of meningitis. Most meningitis-induced infarcts have been reported in the neonatal and pediatric population. To the best of our knowledge, there have been no previous reports describing bilateral cortical infarcts in an adult secondary to a K1 strain of meningitis, and herein we report a case in a 25-year-old female. The challenge in treating this patient was determining the duration of systemic antibiotic treatment and whether or not to use steroids. This study demonstrates the necessity of early diagnosis and treatment of meningitis to prevent neurological complications, including stroke.
脑缺血是脑膜炎已知的并发症。大多数脑膜炎所致梗死见于新生儿和儿童群体。据我们所知，此前尚无关于成人因K1型脑膜炎继发双侧皮质梗死的报道，在此我们报告一例25岁女性患者。治疗该患者的挑战在于确定全身抗生素治疗的持续时间以及是否使用类固醇。本研究表明早期诊断和治疗脑膜炎对于预防包括中风在内的神经并发症的必要性。
