Intensive Care Medicine, Royal Berkshire NHS Foundation Trust, Reading, UK
Acute Medicine, Royal Berkshire NHS Foundation Trust, Reading, UK.
BMJ Case Rep. 2021 May 28;14(5):e241686. doi: 10.1136/bcr-2021-241686.
meningitis is an uncommon but potentially serious cause of meningitis, which is considered particularly rare in healthy and immunocompetent individuals. We present a case of meningitis in a young, immunocompetent patient which was acquired following a dog bite. We review the literature and propose that underdiagnosis of this condition is likely. To avoid misdiagnosis, and thus improper management, clinicians should ensure that they identify animal exposure in all meningitic patients, and adopt a higher clinical suspicion in the absence of classical risk factors.
脑膜炎是一种不常见但潜在严重的脑膜炎病因,在健康和免疫功能正常的个体中被认为特别罕见。我们报告了一例免疫功能正常的年轻患者发生的脑膜炎,该患者在被狗咬伤后患病。我们回顾了文献,并提出这种情况可能存在漏诊。为了避免误诊,从而导致不当的治疗,临床医生应确保在所有脑膜炎患者中都能识别动物接触史,如果没有典型的危险因素,应提高临床警惕性。