Severe Sepsis due to Otogenic Pneumococcal Meningitis with Pneumocephalus without Meningeal Symptoms

被引：5

作者：

Odani, Noriko ^{[1
]}

Kitazono, Hidetaka ^{[1
]}

Deshpande, Gautam A. ^{[2
]}

Hiraoka, Eiji ^{[1
]}

机构：

[1] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Gen Internal Med, Tokyo, Japan

[2] Univ Hawaii, Dept Internal Med, Honolulu, HI 96822 USA

来源：

INTERNAL MEDICINE | 2015年 / 54卷 / 13期

关键词：

Streptococcus pneumoniae; otogenic meningitis; pneumocephalus; ACUTE BACTERIAL-MENINGITIS; ADULTS;

D O I：

10.2169/internalmedicine.54.4074

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The absence of meningeal signs and symptoms is rare in patients with bacterial meningitis and may lead to a delay in diagnosis and treatment. Furthermore, the onset of bacterial meningitis associated with pneumocephalus is a rare complication of ear infections. We herein report a rare case of otogenic meningitis complicated by pneumocephalus that was initially missed due to the absence of typical meningeal signs and symptoms and later diagnosed correctly based on a thorough review of the patient's systems.

引用

页码：1661 / 1664

页数：4