Qasim Abeer, Abraham Minu C, Javed Nismat, Schmidt Patrik, Davidson Joshua
Internal Medicine, BronxCare Health System, New York, USA.
Internal Medicine, BronxCare Health System, Icahn School of Medicine at Mount Sinai, New York, USA.
Cureus. 2023 Jun 22;15(6):e40811. doi: 10.7759/cureus.40811. eCollection 2023 Jun.
Bacterial meningitis is a cause of global concern given its associated high rates of mortality and complications. Timely diagnosis and management are crucial in improving outcomes in patients. Lumbar puncture and radiological investigations form the crux of diagnosis. However, the clinical course becomes complicated if lumbar puncture results are unrevealing and equivocal for bacterial meningitis. We present a case of a 60-year-old female who was diagnosed with bacterial meningitis on repeated lumbar puncture. Clinical vigilance and a high degree of suspicion is needed to ensure that patients with bacterial meningitis are diagnosed and managed appropriately, especially in cases with inconclusive lumbar puncture or radiological investigations.
鉴于细菌性脑膜炎相关的高死亡率和并发症，它是一个全球关注的问题。及时诊断和治疗对于改善患者预后至关重要。腰椎穿刺和影像学检查是诊断的关键。然而，如果腰椎穿刺结果对细菌性脑膜炎无诊断意义且模棱两可，临床病程就会变得复杂。我们报告一例60岁女性患者，经多次腰椎穿刺后被诊断为细菌性脑膜炎。需要临床警惕性和高度怀疑态度，以确保细菌性脑膜炎患者得到恰当的诊断和治疗，尤其是在腰椎穿刺或影像学检查结果不明确的情况下。
