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Unusual presentation of more common disease/injury
CASE REPORT
Anterior spinal cord syndrome as a rare complication of acute bacterial meningitis in an adult
  1. Kwang Sheng Ng1,
  2. Sanihah Abdul Halim2
  1. 1Department of Ophtalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  2. 2Department of Medicine (Neurology), School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
  1. Correspondence to Dr Sanihah Abdul Halim, sanihahabdhalim{at}yahoo.com

Summary

Acute bacterial meningitis is not an uncommon central nervous system infection. In severe cases, it can be associated with various neurological or systemic complications. However, acute spinal cord dysfunction rarely occurs. We report a case of bacterial meningitis complicated with spinal cord infarction despite adequate treatment with antibiotics and corticosteroid therapy. He had residual paraplegia and was fully dependent in the activity of daily living.

  • neurology
  • infection (neurology)
  • meningitis
  • spinal cord

https://doi.org/10.1136/bcr-2018-226082

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    Footnotes

    • Contributors KSN wrote the manuscript and was involved in the acquisition of patient’s data. SAH wrote, edited and expanded the manuscript. Both KSN and SAH co-manage the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.