However, a recent study on pneumococcal nasal carriage showed penicillin minimum inhibitory concentration (MIC)90 of 0.25 mcg/ml, suggesting there are some strains circulating in the community which could be considered resistant using meningitic
breakpoints.16 There is also paucity of IPD demographic and risk factor data reported from Pakistan.
The most common cause among the symptomatic infantile spasms was hypoxic ischemic insult (32%), followed by post meningitic
sequelae (13.6%) and perinatal stroke (13.6%).
Early CI is critical in post meningitic
severe-profound HL because the endostial inflammation can start an osteogenesis process with a resulting obliteration of the cochlear lumen .
Observations on the dissociation of meningitic
strains of H.
This stage is then followed by the meningitic
and later the coma stages, all of which our patient progressed through .
She was continued on high dose trimethoprim-sulfamethoxazole but transitioned from meningitic
dosing of ceftriaxone to IV meropenem (40 mg/kg every 8 hours) for more targeted therapy directed at Nocardia spp, which are typically susceptible to carbapenems.
 Among a cohort of meningitic
children in Kenya, 43.4% presented with SNHL post meningitis, of whom 61% had mild to moderate hearing loss and 38.7% severe to profound loss.