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
Related Articles
- EP ID EP375890
- DOI 10.9790/0853-1706041921.
- Views 56
- Downloads 0
Non Compliance Among Topical Glaucoma Medication Users
Aim: • To assess the proportion of non compliance in Primary open angle glaucoma patients on topical glaucoma medication • To assess the demographic and clinical profile of non compliant patients Methodology: The study w...
Knowledge Assessment of School Teachers in Providing Emergency care to a Child with Avulsed Permanent Incisor in Jazan & Dammam region of Saudi Arabia.
The nature and complexity of dental trauma in children vary widely. In nearly all cases, prompt and appropriate management can significantly minimise the distress associated, and improve the prognosis of many of the resu...
Clinical Study of Meconium Stained Liquor in Labour Induced with Misoprostol and Its Significance on Fetal Outcome
BACKGROUND &OBJECTIVES: induction of labour constitutes initiating effective uterinecontractions which will help in cervical dilatation and delivery of the baby before onset of spontaneous labour. This study evaluates th...
Comment évaluer l’observance du régime hyposodé chez l’hypertendu?
L’observance du régime hyposodé chez les hypertendus est un élément déterminant dans la prise en charge. L’objectif de notre étude était de déterminer la valeur prédictive des outils d’évaluation du respect du régime hyp...
Bacteriology of Diabetic Foot Ulcers with Special Reference to Antibiotic Resistance in GGH, Kakinada
Background: Because of the altered immune status in Diabetic patients, opportunistic and infections are common in Diabetic foot ulcers. Aim: The present study was conducted to know the bacteriology and antibiogram of Dia...