Resumen

TOVAR IBARRA, Ingrid  y  ROMERO GUZMAN, Alberto. Streptococcus pneumoniae meningitis in a previously immunized pediatric patient: report of a case. Acta méd. Peru [online]. 2017, vol.34, n.3, pp.217-220. ISSN 1728-5917.

Bacterial meningitis is an important cause of morbidity and mortality all over the world; and, in spite of a reduction in its incidence because of the introduction of an anti-pneumococcal vaccine in the immunization programs in many places, the occurrence of emerging strains has not been stopped. We present the case of a 5-year old girl with complete immunizations for her age, with a clinical condition suggesting meningoencephalitis, whose progress and outcome (significant systemic involvement and poor response to therapy) lead us to think in the possibility of emerging strains and/or resistance to antibacterial agents, and also to ask ourselves about an underlying immune deficiency or inadequate response to vaccination, the real impact of the vaccine in our country, and the need for performing more stringent epidemiological vigilance in order to identify emerging serotypes

Palabras clave : Pneumococcal vaccines; Drug resistance, microbial; Immunization programs; Meningitis.

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