[Hemolytic uremic sydrome associated with streptococcus pneumoniae meningitis report of one case]

ABSTRACT

A previously healthy eleven months infant was admitted for fever and a status epilepticus. He was found to have purulent meningitis due to streptococcus pneumoniae, complicated by acute renal failure due to hemolytic uremic syndrome. He received peritoneal dialysis and recovered with normalization of renal function but his mental status deteriorated with severe neurologic sequelae. This case illustrates the need of rapid diagnosis and treatment of invasive pneumococcal disease and the necessity to introduce the conjugate pneumococcal vaccination to the Tunisian standard vaccination schedule to reduce the incidence of pneumococcal infection and its associated morbidity and mortality