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- W2010005286 abstract "Peu d'effets indésirables sont rapportés lors de l'utilisation de la dexaméthasone en traitement adjuvant des méningites à Streptococcus pneumoniae. Nous décrivons cependant un cas de vascularite cérébrale supposée secondaire à leur utilisation. Un homme de 49 ans était hospitalisé pour la prise en charge d'une fièvre avec troubles de conscience, sans signe de choc septique. La ponction lombaire montrait une importante réaction méningée et la présence de S. pneumoniae à la culture. Le traitement instauré en urgence comportait l'antibiothérapie habituelle associée à la dexaméthasone selon les recommandations. L'évolution initiale était favorable mais au neuvième jour, devant l'apparition de signes de localisation, un scanner cérébral objectivait une vascularite diffuse. Le patient décédait le 13e jour malgré la poursuite de l'antibiothérapie. Une aggravation neurologique secondaire a été observée à l'arrêt du traitement par dexaméthasone faisant évoquer un effet rebond. Cela pourrait conduire à modifier les modalités d'administration au cours des méningites bactériennes. Few adverse effects have been reported with adjunctive dexamethasone treatment in pneumococcal meningitis. Nevertheless, we report a case of cerebral vasculitis. A 49-year-old man was admitted for fever and altered mental status. Lumbar puncture revealed a high inflammatory response and Streptococcus pneumoniae was identified by culture. Antibacterial therapy and adjunctive dexamethasone treatment were initiated as recommended. The immediate outcome was favorable but due to the onset of focal cerebral abnormalities, a CT scan was performed on the ninth day showing cerebral vasculitis. The patient died on the thirteenth day despite antibacterial therapy and resuscitation. In our case, a secondary neurological worsening appeared when adjunctive dexamethasone treatment was stopped suggesting a rebound effect. Observation of similar cases may lead to modifying adjunctive dexamethasone treatment protocol in bacterial meningitis." @default.
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- W2010005286 date "2007-02-01" @default.
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- W2010005286 title "Implication du traitement adjuvant par dexaméthasone dans la survenue d'une artérite septique cérébrale au cours d'une méningite à Streptococcus pneumoniae" @default.
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- W2010005286 doi "https://doi.org/10.1016/j.medmal.2006.12.003" @default.
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