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[A case of nasal discharge resulting in recurrent bacterial meningitis].
- Source :
-
Rinsho shinkeigaku = Clinical neurology [Rinsho Shinkeigaku] 2021 Mar 25; Vol. 61 (3), pp. 177-181. Date of Electronic Publication: 2021 Feb 23. - Publication Year :
- 2021
-
Abstract
- A 47-year-old man who was previously hospitalized three times due to bacterial meningitis experienced a headache and posterior neck pain in May. He was admitted to our hospital because of a fever 3 h later. He was fully conscious and febrile, with a headache and signs of meningeal irritation. A cerebrospinal fluid examination showed an increased number of cells with polynuclear cell predominance and decreased glucose levels, leading to the diagnosis of bacterial meningitis. Steroid and antibiotic treatment was initiated, at which time, large amounts of nasal discharge were observed. Cisternal scintigraphy was performed, and cerebrospinal fluid was detected in the nasal discharge. The cause was idiopathic, and endoscopic repair was performed. The nasal fluid leakage was suggested to be the cause of the recurrent bacterial meningitis in this case.
- Subjects :
- Anti-Bacterial Agents administration & dosage
Biomarkers cerebrospinal fluid
Cerebrospinal Fluid cytology
Cerebrospinal Fluid metabolism
Cerebrospinal Fluid Rhinorrhea therapy
Dexamethasone administration & dosage
Drug Therapy, Combination
Endoscopy
Glucose cerebrospinal fluid
Humans
Male
Meningitis, Bacterial drug therapy
Middle Aged
Nasal Cavity diagnostic imaging
Neutrophils
Radionuclide Imaging
Recurrence
Tomography, X-Ray Computed
Treatment Outcome
Cerebrospinal Fluid Rhinorrhea complications
Cerebrospinal Fluid Rhinorrhea diagnostic imaging
Meningitis, Bacterial diagnosis
Meningitis, Bacterial etiology
Subjects
Details
- Language :
- Japanese
- ISSN :
- 1882-0654
- Volume :
- 61
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Rinsho shinkeigaku = Clinical neurology
- Publication Type :
- Academic Journal
- Accession number :
- 33627580
- Full Text :
- https://doi.org/10.5692/clinicalneurol.cn-001505