Case Report Fulminant Meningococcal Meningitis without Meningeal Signs in a 22- Year Old Female.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
The case of a 22- year old female student who presented with a one week history of sore throat, joint pain and fever, and a two-day history of skin rash.She had no neck pain or neck stiffness and physical examination revealed no signs of meningeal irritation. She died four hours after presentation. Autopsy findings revealed thick purulent pus covering the meninges in keeping with pyogenic meningitis. Brain swab culture yielded Neisseria meningitidis. She had fulminant meningococcal meningitis with no meningeal signs. Clinicians usually rely on meningeal signs to make a diagnosis of meningitis. Meningeal signs however have been shown to have a low sensitivity in making a diagnosis of meningitis, and may be absent in the presence of meningitis. Clinicians should therefore not only rely on the presence ofthese signs to suspect meningitis; they should have a high index of suspicion, particularly during an ongoing outbreak of meningitis.
Authors and Affiliations
Vivian GGA Kwaghe
Keywords
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- EP ID EP375890
- DOI 10.9790/0853-1706041921.
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