A young man with recurrent bacterial meningitis

Authors : Mahshid TALEBI-TAHER, Reihaneh MAHMOODIAN, Hossein GHALENOEI

Pages : 153-154

View : 6 | Download : 5

Publication Date : 2014-05-20

Article Type : Other Papers

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 insert ignore into journalissuearticles values(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