| Teaching File Case - Patient: 14118|
Peer Reviewed and Certified - Approved by: James G. Smirniotopoulos, M.D. - 2012-04-04 05:35:51-04
|Demographics: 33 y.o. woman|
|History & Chief complaint:|
|33 year old woman with headache, fever, photophobia, and stiff neck. Currently being treated for otitis media|
|Physical exam and Laboratory:|
CSF abnormal with increased WBC and postive gram stain
Strep pneumonia cultured from CSF
Negative blood cultures
|Summary of Findings:|
|â€¢ Bilateral mastoiditis and otitis, worse on right.
â€¢ Increased CSF signal on Flair scans.
â€¢ Abnormal increase in leptomeningeal and vascular enhancement on contrast MRI sequences.
| Acute Bacterial Meningitis secondary to masoitidits and otitis |
|Confirmed by: Lumbar puncture and CSF cultures|
|Treatment and Followup:|
|Tympanic membrane tube (myringotomy) placemed on right.
|acute bacterial meningitis|
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