Table 2

Characteristics of ir-meningitis and management with steroids

Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7
Severity grade of meningitis3212121
SymptomsFever,
confusion,
partial seizure.
Headache,
nausea,
photophobia.
Headache,
four limbs pain.
Headache,
vomiting.
Headache,
vomiting.
Headache,
fever.
Fever,
headache
Lumbar puncture
cells/mm3 40 (90% L)8 (100% L)19 (90% L)25 (90% L)09 (90% L)320 (90% L)
Protein level0.99 g/L0.30 g/L0.39 g/L0.43 g/L0.59 g/L0.54 g/L<0.45 g/L
Steroid treatment*
Initial dose1 mg/kg/day1 mg/kg/day01 mg/kg/day01 mg/kg0
Length at full dose7 days7 days7 days14 days
Length of tapering42 days42 days42 days42 days
Delay of complete recovery
From irAE-N onset18 days17 days10 days21 days65 days49 days10 days
From steroids onset2 days14 days2 days14 days
Other irAEs occurrenceNoneNoneNoneHypophysitis (gr. 2), diabetes (gr. 2), hepatitis (gr. 1)NoneHypophysitis (gr. 2), hepatitis (gr. 4), colitis (gr. 2) small fibers neuropathy (gr.1)None
  • *Prednisone equivalent doses.

  • irAE, immune-related adverse event; irAE-N, neurological immune-related adverse event; L, lymphocytes.