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A Case of Cerebrospinal Fluid Leak in a Patient With Pneumococcal Meningitis and Rhinorrhea

Year: 2025

Type: article

Abstract: Pneumococcal meningitis is a relatively common condition in the United States. Patients often present with an intense headache and may have accompanying nausea and vomiting, altered mental status, and hearing loss, among other symptoms. A primary concern for a patient with pneumococcal meningitis is the status of their immune system. Cases typically occur in individuals who are immunocompromised and who are more susceptible to bacterial penetration of their central nervous system. Our patient with pneumococcal meningitis proved to be immunocompetent, prompting our curiosity in determining the cause of his illness. A thorough history revealed the origin of his illness: a long-standing cerebrospinal fluid leak.

Source: Annals of Internal Medicine Clinical Cases

DOI: 10.7326/aimcc.2024.0874

Authors: Jamie E. Clarke, Stephanie Yanez, Connor Gemmell, Stephen W. Hosea

Institutions: University of California, Los Angeles, Santa Barbara Cottage Hospital, University of California Davis Medical Center, University of California, Davis

Language: English

Topic: Neurosurgical Procedures and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4407686745

FWCI:

Cites: 14

Cited by:

Related to: 10