Table of Contents

Washington University Experience | INFECTION | Bacteria | Meningitis | Meningitis, complications - remote | 2A0 Case 2 History

Case 2 History The patient was two years and ten months old and presented in status epilepticus. He had suffered from group B streptococcal meningitis at eleven days of life leaving him with neurologic devastation, hydrocephalus treated with VP shunt and a chronic seizure disorder. The patient had a history of multiple aspiration pneumonias, cortical venous thrombosis and surgical correction of overriding parietal sutures after cerebral tissue loss. His mother brought the child to an outside ER where the seizures were controlled. The patient was febrile to 40.3 C. The patient was felt to have suffered an aspiration with the seizures. The patient did not respond well to fluid resuscitation and pressors. With the likelihood and prognosis of severe septic shock, the family decided that no further escalation in therapy would be performed.

---