Severe Sepsis due to Otogenic Pneumococcal Meningitis with Pneumocephalus without Meningeal Symptoms

被引:5
|
作者
Odani, Noriko [1 ]
Kitazono, Hidetaka [1 ]
Deshpande, Gautam A. [2 ]
Hiraoka, Eiji [1 ]
机构
[1] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Gen Internal Med, Tokyo, Japan
[2] Univ Hawaii, Dept Internal Med, Honolulu, HI 96822 USA
关键词
Streptococcus pneumoniae; otogenic meningitis; pneumocephalus; ACUTE BACTERIAL-MENINGITIS; ADULTS;
D O I
10.2169/internalmedicine.54.4074
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The absence of meningeal signs and symptoms is rare in patients with bacterial meningitis and may lead to a delay in diagnosis and treatment. Furthermore, the onset of bacterial meningitis associated with pneumocephalus is a rare complication of ear infections. We herein report a rare case of otogenic meningitis complicated by pneumocephalus that was initially missed due to the absence of typical meningeal signs and symptoms and later diagnosed correctly based on a thorough review of the patient's systems.
引用
收藏
页码:1661 / 1664
页数:4
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