An Unusual Case of Bacterial Meningitis
Journal Title: Eurasian Journal of Emergency Medicine - Year 2019, Vol 18, Issue 2
Abstract
Bacterial meningitis is a medical emergency that requires prompt identification and treatment in the emergency department (ED). Medical management is the mainstay of treatment. However, some patients may require neurosurgical intervention. Furthermore, neurological complications may develop, causing significant morbidity and mortality. We present a case report of a 42-year-old Chinese gentleman who presented to the ED and was subsequently diagnosed with pneumococcal meningitis. In addition to routine medical management, he also underwent emergent extraventricular drainage procedure to alleviate increased intracranial pressure. He subsequently developed stroke, seizure and sensorineural hearing loss. Not seizure-related hearing loss. After a comprehensive rehabilitation program, he showed good response and recovered without focal neurological deficit. A high index of suspicion and timely interventions in ED are important in minimizing morbidity and mortality from bacterial meningitis. The help of neurosurgeons may be necessary in selected cases. Dexamethasone has an important role in the prevention of neurological complications, as well as in their treatment.
Authors and Affiliations
Mian Jie Lim, Jen Heng Pek
Keywords
Related Articles
- EP ID EP50462
- DOI 10.4274/eajem.galenos.2019.48569
- Views 285
- Downloads 0
The Effect of Low Dose Ketamine on the Need for Morphine in Patients with Multiple Trauma in Emergency Department
Aim: There are a few analgesic drugs (morphine, ketamine, Paracetamol, etc.) used for pain control in injury patients. Previous studies showed that low-dose ketamine (doses less than 1 mg/kg) promptly and satisfactorily...
Evaluation of the Prevalence of Incidental HBV, HCV and HIV Infection Among Patients Presenting to the Emergency Department: A Prospective Cross-sectional Study
Aim: In this study, we randomized the patients without known hepatitis-B, hepatitis C and HIV infection who presented to the emergency department (ED). We measured the serum levels of HBsAg, Anti-HCV and Anti-HIV antibod...
Assessment of Suicidal Cases Among Emergency Department Applicants Kütahya Evliya Çelebi Training and Research Hospital Experience
Aim: Our work is aim at sharing our experiences in suicide cases which constitute a significant part of the psychiatric emergency cases. We hope to draw attention to the factors involved in suicide attempts. This is inte...
COVID-19: Transport Operation from an Endemic Area
Aim: Turkish Government launched an operation to transport the Turks living in Wuhan, China to Turkey because of coronavirus disease-19 (COVID-19) pandemia. In this study, the transport method, medical measures taken and...
Factors Affecting Prognosis Based on Right Coronary Artery Pathologies
Aim: Blood glucose levels, cardiac troponin (cTn) values within the first 12 hours, ejection fraction (EF), bundle branch block and Gensini scores of patients who were admitted to the emergency department for acute infer...