Abstract
A 4-year-old boy was hospitalized with fever, vomiting, and convulsions. His sputum and nasal culture showed Streptococcus pneumoniae. He was diagnosed with purulent meningitis, and treatment with intravenous antibiotics panipenem-betamipron, cefotaxime sodium, dexamethasone, glycerol, and the anticonvulsants diazepam and phenobarbital was started. Although his general condition and consciousness improved, he didn't speak at all. Magnetic resonance imaging demonstrated a high intensity area in the frontal and temporal lobes on diffuse imaging. After 2 weeks treatment, speech was completely recovered without sequelae.