Publication: Twelve episodes of meningitis in the same patient!
Date
2007
Authors
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Journal ISSN
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Publisher
Kathmandu University
Abstract
Recurrent bacterial meningitis is potentially life-threatening; resultant complications and adverse events during
management take their extra toll on the patient. A rare case with 12 consecutive episodes of pyogenic meningitis,
probably the maximum number ever reported in the literature, has been presented. A minor head injury but with no
subsequent cerebrospinal fluid (CSF) leak during childhood was the index event in this patient. High resolution
computerized tomography (HRCT) scan of the base of the skull clearly revealed a bony dehiscence missed on
numerous previous imagings. Culprit micro organisms involved in recurrence were Streptococcus pneumoniae and
Neisseriae meningitides. Though surgical repair would have been definitive treatment, medical management with
pneumococcal and meningococcal vaccination and prophylactic penicillin have been used in this patient to prevent
further recurrences.
Description
Paudyal BP
Patan Hospital