Cotran-Lenrow Alexander, Tefera Lidia S, Douglas-Vail Matthew, Ayebare Arnold, Kpokpah Leroy N, Davis Bill P
Department of Microbiology, Partners in Health, Harper, LBR.
Department of Pediatrics, Partners in Health, Harper, LBR.
Cureus. 2023 Jul 24;15(7):e42376. doi: 10.7759/cureus.42376. eCollection 2023 Jul.
This case report presents a rare and significant case of community-acquired meningitis in a healthy 13-month-old male patient in rural Liberia. meningitis, particularly in the absence of predisposing factors, is a rare occurrence with a high mortality rate. The challenges in diagnosing this condition, especially in resource-limited settings, are highlighted. The patient initially presented with fever, seizures, and altered consciousness, and lumbar puncture revealed turbid cerebrospinal fluid (CSF) with elevated white blood cell count. Subsequent CSF culture confirmed infection. Prompt initiation of appropriate antibiotic therapy, including a push dose of meropenem, resulted in clinical improvement. However, the patient exhibited post-meningitis sequelae, including hearing and visual impairments. Comprehensive follow-up care and rehabilitation services are crucial for managing these long-term complications. By sharing this case, we aim to increase awareness and facilitate early recognition of meningitis, leading to improved patient care and outcomes in similar clinical scenarios.
本病例报告介绍了利比里亚农村一名13个月大健康男童罕见且严重的社区获得性脑膜炎病例。脑膜炎,尤其是在没有易感因素的情况下,是一种罕见且死亡率高的疾病。文中强调了诊断这种疾病的挑战,特别是在资源有限的环境中。患者最初表现为发热、癫痫发作和意识改变,腰椎穿刺显示脑脊液浑浊且白细胞计数升高。随后的脑脊液培养证实了感染。及时开始适当的抗生素治疗,包括静脉推注美罗培南,使临床症状得到改善。然而,患者出现了脑膜炎后遗症,包括听力和视力障碍。全面的随访护理和康复服务对于管理这些长期并发症至关重要。通过分享这个病例,我们旨在提高对脑膜炎的认识并促进早期识别,从而在类似临床情况下改善患者护理和治疗结果。