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Rare vascular complication of acute meningococcal meningitis in a child
  1. Indar Kumar Sharawat,
  2. Vignesh Subramani,
  3. Shivan Kesavan,
  4. Lokesh Saini
  1. Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India
  1. Correspondence to Dr Lokesh Saini, drlokeshsaini{at}

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A 5-year-old boy presented with fever for 4 days and acute-onset weakness of the right upper and lower limb for 1  day. There was no history of headache, seizures, vomiting and altered sensorium, rash or bleeding from any site. On examination, he had normal mentation, neck stiffness, Kernig’s sign, right-sided upper motor neuron facial palsy and right hemiparesis. The rest of the systemic examination was unremarkable. A clinical diagnosis of acute meningitis with left Middle Cerebral Artery (MCA) territory stroke was made.

Cerebrospinal fluid examination revealed 980 cells/µL (90% polymorphonuclear leucocytes and 10% lymphocytes), glucose 47 mg/dL, proteins 110 mg/dL and Neisseria meningitides antigen was positive; however, no organism could be isolated on microscopy and culture. He was unimmunised for meningococcal vaccine. Blood culture was sterile. Detailed …

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