A young man with recurrent bacterial meningitis

Year 2014, Volume: 27 Issue: 2, 153 - 154, 20.05.2014

Mahshid Talebı-taher Reihaneh Mahmoodıan Hossein Ghalenoeı

Abstract

A 23-year-old man presented to Rasoul-e-Akram General

Teaching Hospital with a two day history of fever,

headache, neck stiffness and vomiting. He had suffered

similar complaints when he was a child and also two years

ago. Several years ago because of a watery discharge from

his nose he was operated for a nasal polyp but the pathology

report of mass was not consistent with a polyp.

On physical examination, he had fever and neck

stiffness and a watery discharge from the right nostril, the

other systems were normal.

Laboratory investigations revealed leukocytosis with

neutrophilia and cerebral spinal fluid (CSF) sample showed

a low glucose concentration and a high protein content.

The cell count was 1250/mm3 and was predominantly

neutrophilic. Streptococcus pneumoniae grew in the CSF

culture. He was treated with ceftriaxone and vancomycin

for 14 days. A cranial CT scan was requested

Keywords

bacterial meningitis

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