Karki Bipin, Acharya Utsav, Pun Bishika, Shrestha Pramesh Sunder
Department of Critical Care Medicine, Maharajgunj Medical Campus Institute of Medicine Kathmandu Nepal.
Department of Anaesthesia, Maharajgunj Medical Campus Institute of Medicine Kathmandu Nepal.
Clin Case Rep. 2023 May 9;11(5):e7320. doi: 10.1002/ccr3.7320. eCollection 2023 May.
Delayed presentation of cerebrospinal fluid rhinorrhea is rare following head trauma. It is frequently complicated by meningitis if not addressed in time. This report highlights the importance of its timely management, the lack of which can lead to a fatal outcome.
A 33-year-old man presented with meningitis in septic shock. He had a history of severe traumatic brain injury 5 years back following which he had a history of intermittent nasal discharge for the past 1 year. On investigation, he was found to have meningitis, and CT scan of his head showed defects in the cribriform plate which established the diagnosis of meningoencephalitis secondary to cerebrospinal fluid rhinorrhea. The patient did not survive despite appropriate antibiotics.
头部外伤后迟发性脑脊液鼻漏罕见。若不及时处理，常并发脑膜炎。本报告强调了及时处理的重要性，否则可能导致致命后果。
一名33岁男性因感染性休克伴脑膜炎就诊。他5年前有严重颅脑外伤史，此后1年来有间歇性鼻漏病史。经检查，发现他患有脑膜炎，头部CT扫描显示筛板缺损，确诊为脑脊液鼻漏继发的脑膜脑炎。尽管使用了适当的抗生素，患者仍未存活。
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