| Summary points: | A 6-month-old from a peri-urban coastal village in The Gambia with previously-treated meningitis due to microscopically-confirmed Streptococcal pneumoniae presents with clinical signs suggestive of meningitis. This case report details the history, results of microscopic examination of cerebrospinal fluid and blood culture, and treatment, and includes some images. The authors discuss the need for prevention of invasive pneumococcal disease through routine conjugate pneumococcal vaccination and molecular genotyping of bacterial isolates to identify recurrent infections in patients with meningitis. |