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Subdural and subarachnoid empyema as a complication of an acute meningococcal meningitis
  1. Gonzalo Solís-García1,
  2. Juan Vicente Darriba Valles2,
  3. Oscar Lucas Gil de Sagredo Del Corral2,
  4. María Vázquez López3,
  5. Alejandra Aguado4,
  6. Jesús Saavedra-Lozano5
  1. 1Pediatrics, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  2. 2Neurosurgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  3. 3Neuropediatrics, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  4. 4Radiology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  5. 5Pediatric Infectious Diseases, Hospital General Universitario Gregorio Maranon, Madrid, Spain
  1. Correspondence to Dr Gonzalo Solís-García, Pediatrics, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain; gonzalo.solis{at}salud.madrid.org

http://dx.doi.org/10.1136/archdischild-2019-318036

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    A 3-month-old infant with unremarkable medical history presented to the emergency room with a 72-hour history of fever, poor feeding and irritability. Blood tests were performed showing C reactive protein of 30 mg/dL, PCT of 9 ng/mL and white cell count of 9.8 x109/L with 46% neutrophils. Cerebrospinal fluid Gram stain showed Gram-negative cocci, which were later confirmed by culture to be Neisseria meningitidis serotype C. The patient was admitted and …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.