Streptococcus pneumoniae (S pneumoniae) is a common cause of bacterial meningitis, frequently leading to death or severe neurological impairment. We report an exceptional case of a 4-month-old boy with meningitis caused by S pneumoniae. Computed tomography (CT) and magnetic resonance imaging (MRI) examinations of the brain showed bilateral symmetrical necrosis involving the lentiform and caudate nuclei, as well as the thalamus. T1-weighted MR images showed patchy areas of increased signal intensity, consistent with hemorrhagic transformation of the lesions. Autopsy revealed widespread necrosis of the basal ganglia with clear signs of vasculitis. Severe complications of S pneumoniae meningoencephalitis are known in infants but to our knowledge, such lesions in the basal ganglia have only been reported thrice in adults and never in children.

This case report describes the one-year results of the implantation of a sectorial and foldable artificial iris in a phakic eye. To our knowledge, this is the first such report with a follow-up of 1 year. No perioperative or postoperative complications were seen. Corrected distance visual acuity remained unchanged (left eye, 1.5/10), the subjective complaints of glare and photophobia improved considerably, and the patient was very satisfied with the aesthetic result.