[[[ Introduction: ]]] A 13-month-old child was treated for choroid plexus carcinoma with partial embolisation, complete surgical excision and chemotherapy. The patient’s course was complicated by the presence of chronic bilateral subdural collections. [[[ Case report: ]]] Four months from completing treatment, the child presented with an empyema in the subdural space caused by Streptococcus pneumoniae subtype 6A. [[[ Discussion: ]]] The case highlights a number of questions about pneumococcal immunisation after standard chemotherapy. Evidence-based guidelines are required urgently to direct best practice.
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