An Unusual Presentation of Hemiparesis: Rapidly Progressing Meningitis Secondary to Acute Mastoiditis
Division
North Florida
Hospital
North Florida Regional Medical Center
Document Type
Case Report
Publication Date
5-18-2020
Keywords
Mastoiditis, Meningitis, Myringotomy, Stroke mimic
Disciplines
Bacterial Infections and Mycoses | Emergency Medicine | Nervous System Diseases
Abstract
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
Publisher or Conference
IDCases
Recommended Citation
Mathern R, Calestino M. An unusual presentation of hemiparesis: Rapidly progressing Streptococcal pneumoniae meningitis secondary to acute mastoiditis. IDCases. 2020;21:e00831. doi:10.1016/j.idcr.2020.e00831