COW - Case of the WeekMedPix® Home PageTeaching File Case - Patient: 14118
Peer Reviewed and Certified - Approved by: James G. Smirniotopoulos, M.D. - 2012-04-04 05:35:51-04
Submitted by: Steven J Goldstein - Author Info
Affiliation: University of Kentucky
Approved By: James G. Smirniotopoulos, M.D. - Editor Info
Affiliation: Uniformed Services University
::::::TF Case Summary::::::Print TF Case::
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:
Fever
CSF abnormal with increased WBC and postive gram stain
Strep pneumonia cultured from CSF
Negative blood cultures
 
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Summary of Findings:
• Bilateral mastoiditis and otitis, worse on right.
• Increased CSF signal on Flair scans.
• Abnormal increase in leptomeningeal and vascular enhancement on contrast MRI sequences.
 
Differential Diagnosis:


 
Diagnosis:
More Like This ?   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.
Antibiotics
 
Disease Discussion -  acute bacterial meningitis
Discussion Author: Richard Conran
acute bacterial meningitis
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