Popis: |
— Acute pyogenic meningitis may be complicated by tonsillar herniation and this makes the clinical management of the patient very arduous and may to death. We report a case of a 13-year-old female admitted to the children emergency unit due to meningitis secondary to lobar pneumonia. The autopsy showed central cyanosis, lobar pneumonia, cerebral oedema, exudate around the brain, cerebral oedema and tonsillar herniation. Brain smear revealed numerous gram-positive cocci in chains. The cause of death was tonsillar herniation secondary to acute pyogenic meningitis. |