Seventy-seven children with bacterial meningitis were screened for com
plement deficiency. Both the classical and the alternate pathways were
normal in 75 patients. Transiently reduced total haemolytic activity
of the classical pathway was documented in a boy with meningococcal me
ningitis. Total haemolytic activity of both the classical and the alte
rnate pathways were reduced in another patient with pneumococcal menin
gitis: individual complement components determination indicated predom
inant activation of the alternate pathway.