Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Mais filtros











Base de dados
Intervalo de ano de publicação
1.
Infez Med ; 24(3): 234-6, 2016 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-27668905

RESUMO

A young woman was examined in the Emergency Department for fever, pharyngitis and widespread petechial rash. Physical examination, including neurological evaluation, did not show any other abnormalities. Chest X-ray was negative. Blood exams showed leukocytosis and CPR 20 mg/dL (nv<0.5 mg/dL). On the basis of these results and petechial rash evidence, lumbar puncture was performed. CSF was opalescent; physico-chemical examination showed: total proteins 2.8 (nv 0.15-0.45), glucose 5 (nv 59-80), WBC 7600/µL (nv 0-4/ µL). In the hypothesis of meningococcal meningitis, antimicrobial therapy was started. Blood and cerebrospinal fluid cultures were positive for N. meningitidis. During the first hours the patient experienced hallucinations and mild psychomotor agitation, making a spontaneous recovery. A brain MRI showed minimal extra-axial inflammatory exudates. She was discharged after 10 days in good condition. We underline the need to consider meningococcal meningitis diagnosis when any suggestive symptom or sign is present, even in the absence of the classic meningitis triad, to obtain earlier diagnosis and an improved prognosis.


Assuntos
Febre/etiologia , Meningite Meningocócica/diagnóstico , Neisseria meningitidis/isolamento & purificação , Faringite/etiologia , Púrpura/etiologia , Adulto , Antibacterianos/uso terapêutico , Ceftriaxona/uso terapêutico , Imagem de Difusão por Ressonância Magnética , Alucinações/etiologia , Humanos , Imunocompetência , Meningite Meningocócica/líquido cefalorraquidiano , Meningite Meningocócica/complicações , Meningite Meningocócica/diagnóstico por imagem , Neuroimagem , Agitação Psicomotora/etiologia , Punção Espinal
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA