Mathern Ryan, Calestino Matthew
North Florida Regional Medical Center, Gainesville, FL, 32605, United States.
University of Central Florida College of Medicine, Orlando, FL, 32837, United States.
IDCases. 2020 May 18;21:e00831. doi: 10.1016/j.idcr.2020.e00831. eCollection 2020.
A sixty-three year-old male who arrived to our emergency department with signs and symptoms of an acute left middle cerebral artery cerebrovascular accident. Initial neurovascular imaging failed to demonstrate any abnormalities that explained his symptoms. His neurologic status rapidly deteriorated in conjunction with the development of severe sepsis. The patient required endotracheal intubation and was transferred to our intensive care unit. After an extensive diagnostic work-up, the etiology of his condition was determined to be due to bacterial meningitis originating from acute mastoiditis. Cultures of cerebrospinal fluid and peripheral blood grew . The patient improved with intravenous antimicrobials, intravenous dexamethasone and a left sided myringotomy with tympanostomy tube. The patient made a complete neurological recovery following this treatment.
一名63岁男性因急性左大脑中动脉脑血管意外的症状和体征被送至我院急诊科。初始神经血管成像未显示任何可解释其症状的异常情况。随着严重脓毒症的发展，他的神经状态迅速恶化。患者需要气管插管并被转入我院重症监护病房。经过广泛的诊断检查，确定其病情病因是源于急性乳突炎的细菌性脑膜炎。脑脊液和外周血培养结果显示……患者通过静脉使用抗菌药物、静脉注射地塞米松以及左侧鼓膜切开置管术得到改善。经过该治疗后，患者神经功能完全恢复。
