Recurrent late onset post-traumatic meningitis.

Recurrent meningitis is an uncommon clinical problem which results from post-traumatic osteomeningeal defect. Streptococcus pneumoniae accounts for 80% of central nervous system infections associated with bony anatomical defects in the skull. Despite vigorous use of antibiotics and aggressive supportive care, about 50% survivors have disabling neurological sequelae. Pneumococcal meningitis is associated witha mortality ofabout 32% which is even higher in individuals with bacteraemia. We report a case of recurrent late onset post-traumatic meningitis with some unusual features, who underwent definitive surgical treatment and made an uneventful recovery.