Bacterial meningitis
30 years old female. Presented with altered behaviour, fever and slurred speech. Positive family history of SLE. WCC 6.9. Lumbar puncture: high CSF protein and opening pressure, WBC 1332 Findings: Generalised abnormal leptomeningeal enhancement is noted. No basal enhancement is otherwise evide...
Saved in:
Main Author: | |
---|---|
Format: | Article |
Language: | English |
Published: |
Radiopaedia
2021
|
Subjects: | |
Online Access: | http://irep.iium.edu.my/97111/1/97111_Bacterial%20meningitis.pdf http://irep.iium.edu.my/97111/ https://radiopaedia.org/cases/bacterial-meningitis?lang=us |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
my.iium.irep.97111 |
---|---|
record_format |
dspace |
spelling |
my.iium.irep.971112022-03-10T00:37:12Z http://irep.iium.edu.my/97111/ Bacterial meningitis Haroon, Raihanah RC Internal medicine RC633 Specialties of Internal Medicines- Diseases of The Blood and Blood-forming Organs. Hematologic Diseases 30 years old female. Presented with altered behaviour, fever and slurred speech. Positive family history of SLE. WCC 6.9. Lumbar puncture: high CSF protein and opening pressure, WBC 1332 Findings: Generalised abnormal leptomeningeal enhancement is noted. No basal enhancement is otherwise evident. No focal enhancing brain intraparenchymal lesion. Prominence of 3rd ventricle as well as temporal horns of both lateral ventricles with early generalised effacement of cortical sulci. Impression: Overall appearances likely represent meningitis with slightly worsening early communicating hydrocephalus. Case Discussion Meningitis is defined as infection of the pia matter, arachnoid and adjacent CSF. It can be divided into pachymeningitis (infection of dura matter) or leptomeningitis (infection of pia matter, arachnoid and CSF). Patients often present with headache, stiff neck, confusion, disorientation with positive CSF analysis. The role of imaging is to exclude parenchymal abscess, ventriculitis, localised empyema; evaluate PNS/ temporal bone as a source of infection and to monitor complications. Complications include cerebritis, ventriculitis, brain atrophy, brain infarction, subdural effusion, hydrocephalus & cranial nerve dysfunction. Hydrocephalus in meningitis is caused by cellular debris blocking the foramen of Monro, aqueduct, 4th ventricular outlet, or caused by intraventricular septa/ arachnoid adhesion. Radiopaedia 2021-06-19 Article PeerReviewed application/pdf en http://irep.iium.edu.my/97111/1/97111_Bacterial%20meningitis.pdf Haroon, Raihanah (2021) Bacterial meningitis. Radiopaedia. https://radiopaedia.org/cases/bacterial-meningitis?lang=us 10.53347/rID-90311 |
institution |
Universiti Islam Antarabangsa Malaysia |
building |
IIUM Library |
collection |
Institutional Repository |
continent |
Asia |
country |
Malaysia |
content_provider |
International Islamic University Malaysia |
content_source |
IIUM Repository (IREP) |
url_provider |
http://irep.iium.edu.my/ |
language |
English |
topic |
RC Internal medicine RC633 Specialties of Internal Medicines- Diseases of The Blood and Blood-forming Organs. Hematologic Diseases |
spellingShingle |
RC Internal medicine RC633 Specialties of Internal Medicines- Diseases of The Blood and Blood-forming Organs. Hematologic Diseases Haroon, Raihanah Bacterial meningitis |
description |
30 years old female.
Presented with altered behaviour, fever and slurred speech. Positive family history of SLE. WCC 6.9. Lumbar puncture: high CSF protein and opening pressure, WBC 1332
Findings:
Generalised abnormal leptomeningeal enhancement is noted. No basal enhancement is otherwise evident.
No focal enhancing brain intraparenchymal lesion.
Prominence of 3rd ventricle as well as temporal horns of both lateral ventricles with early generalised effacement of cortical sulci.
Impression:
Overall appearances likely represent meningitis with slightly worsening early communicating hydrocephalus.
Case Discussion
Meningitis is defined as infection of the pia matter, arachnoid and adjacent CSF.
It can be divided into pachymeningitis (infection of dura matter) or leptomeningitis (infection of pia matter, arachnoid and CSF).
Patients often present with headache, stiff neck, confusion, disorientation with positive CSF analysis.
The role of imaging is to exclude parenchymal abscess, ventriculitis, localised empyema; evaluate PNS/ temporal bone as a source of infection and to monitor complications.
Complications include cerebritis, ventriculitis, brain atrophy, brain infarction, subdural effusion, hydrocephalus & cranial nerve dysfunction.
Hydrocephalus in meningitis is caused by cellular debris blocking the foramen of Monro, aqueduct, 4th ventricular outlet, or caused by intraventricular septa/ arachnoid adhesion. |
format |
Article |
author |
Haroon, Raihanah |
author_facet |
Haroon, Raihanah |
author_sort |
Haroon, Raihanah |
title |
Bacterial meningitis |
title_short |
Bacterial meningitis |
title_full |
Bacterial meningitis |
title_fullStr |
Bacterial meningitis |
title_full_unstemmed |
Bacterial meningitis |
title_sort |
bacterial meningitis |
publisher |
Radiopaedia |
publishDate |
2021 |
url |
http://irep.iium.edu.my/97111/1/97111_Bacterial%20meningitis.pdf http://irep.iium.edu.my/97111/ https://radiopaedia.org/cases/bacterial-meningitis?lang=us |
_version_ |
1728051163143602176 |
score |
13.160551 |