We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pneumococcal Meningitis Complicated by Immune Complex–Mediated Arthritis

SamuelE. Golden; JamesC. Kelly, MD
Am J Dis Child. 1987;141(6):603-604. doi:10.1001/archpedi.1987.04460060021014.
Text Size: A A A
Published online


Sir—.In a recent issue of the ARCHIVES, Likitnukul et al1 found arthritis to be a complication of Haemophilus influenzae and Neisseria meningiditisismeningitis in 3% to 4% of cases. Arthritis was not identified, however, in 179 cases of pneumococcal meningitis. We describe herein a patient with pneumococcal meningitis complicated by possible immune complex–mediated

Patient Report— A full-term male infant was born by cesarean section because of maternal preeclampsia and cephalopelvic disproportion. Membranes were ruptured for five hours prior to delivery, and there were no signs of maternal or fetal infection. Apgar scores were 8 at both one and five minutes. The infant remained well until the fourth day of life when irritability and a temperaure of 39.5°C Blood and cerebrospinal fluid specimens yielded Streptococcus pneumoniae susceptible to penicillin by oxacillin disk testing. Therapy with ampicillin and gentamicin was begun; the latter drug was discontinued the followingy. Repeated blood cultures obtained after two and five days of therapy were sterile, as were cerebrospinal fluid specimens examined after three days of treatment. His condition stabilized and his course


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.