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October 8, 2025MicroorganismsOpen Access

Fulminant Multidrug-Resistant Streptococcus pneumoniae Meningoencephalitis After Elective ENT Surgery: A Case Report

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Authors

CACorina-Ioana AntonMZMadalina Maria ZamfirAGAlexandru Ghiță

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Overview

Case report reveals severe meningoencephalitis due to multidrug-resistant S. pneumoniae in a post-ENT surgery patient, highlighting vaccination gaps.

Key Points

  • A 41-year-old man developed fulminant meningoencephalitis after elective surgery, necessitating intensive care.
  • Cerebrospinal fluid cultures identified a multidrug-resistant S. pneumoniae strain resistant to penicillin and macrolides.
  • Rapid empirical treatment with vancomycin and meropenem led to complete recovery, illustrating the need for timely intervention.
  • The absence of pneumococcal vaccination underscores a critical prevention gap in high-risk surgical patients.

Cite This Study

Anton et al. (2025) studied this question.

synapsesocial.com/papers/68e6a0f4718ef0a556b33d91https://doi.org/10.3390/microorganisms13102315
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hospital-acquired pneumonia caused by multidrug-resistant Streptococcus pneumoniae serotype 15A2025
  2. 2Pseudomonas Meningitis Post Spinal Anesthesia: A Case Report2025
  3. 3Hospital-Acquired Pneumonia Caused by Multidrug-Resistant Streptococcus pneumoniae Serotype 15A2025
  4. 4Persistent Multidrug-Resistant Stenotrophomonas maltophilia Bacteraemia After Elective Orthopaedic Surgery in an Immunocompetent Adult2025
  5. 5Fulminant Pneumococcal Sepsis in the Emergency Department: A CaseBased Narrative Review of Overwhelming Post-Splenectomy Infection, Therapeutic Strategies, and Early Recognition2025