ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS
Abstract Meningitis can present as a stroke mimic. We report a case of a 69 years old lady who presented to accident and emergency 2-hours after an episode of vomiting followed by sudden onset left sided weakness and drowsiness. Examination revealed left sided weakness with dysphasia. Initial plan...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2021-08-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/5454 |
| _version_ | 1819128877691174912 |
|---|---|
| author | Muhammad Mohsin Sajjad Sidra Yousaf |
| author_facet | Muhammad Mohsin Sajjad Sidra Yousaf |
| author_sort | Muhammad Mohsin Sajjad |
| collection | DOAJ |
| description | Abstract
Meningitis can present as a stroke mimic. We report a case of a 69 years old lady who presented to accident and emergency 2-hours after an episode of vomiting followed by sudden onset left sided weakness and drowsiness. Examination revealed left sided weakness with dysphasia. Initial plan was to decide if the patient was for thrombolysis. An urgent CT scan ruled out hemorrhage. On re-examination the patient was febrile and there was some degree of neck stiffness. Magnetic resonance imaging of brain was performed (DW1 no stroke) which ruled out acute ischemia. A lumber puncture was done eventually that showed low glucose, high leukocyte count, and gram staining revealed diplococci in chains. Clinicians should bear in mind the differential diagnosis of meningitis when there are risk factors and overlapping clinical symptoms. |
| first_indexed | 2024-12-22T08:34:48Z |
| format | Article |
| id | doaj.art-e069c2e92b144ea8bc1fe015e2e9e3e4 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-22T08:34:48Z |
| publishDate | 2021-08-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-e069c2e92b144ea8bc1fe015e2e9e3e42022-12-21T18:32:24ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-08-0171414961497https://doi.org/10.51253/pafmj.v71i4.54545454ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMSMuhammad Mohsin Sajjad0Sidra Yousaf1Cavan General Hospital, Cavan IrelandCavan General Hospital, Cavan IrelandAbstract Meningitis can present as a stroke mimic. We report a case of a 69 years old lady who presented to accident and emergency 2-hours after an episode of vomiting followed by sudden onset left sided weakness and drowsiness. Examination revealed left sided weakness with dysphasia. Initial plan was to decide if the patient was for thrombolysis. An urgent CT scan ruled out hemorrhage. On re-examination the patient was febrile and there was some degree of neck stiffness. Magnetic resonance imaging of brain was performed (DW1 no stroke) which ruled out acute ischemia. A lumber puncture was done eventually that showed low glucose, high leukocyte count, and gram staining revealed diplococci in chains. Clinicians should bear in mind the differential diagnosis of meningitis when there are risk factors and overlapping clinical symptoms.https://pafmj.org/index.php/PAFMJ/article/view/5454ct scanmeningitis |
| spellingShingle | Muhammad Mohsin Sajjad Sidra Yousaf ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS Pakistan Armed Forces Medical Journal ct scan meningitis |
| title | ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS |
| title_full | ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS |
| title_fullStr | ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS |
| title_full_unstemmed | ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS |
| title_short | ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS |
| title_sort | adult pneumococcal meningitis presenting with stroke like symptoms |
| topic | ct scan meningitis |
| url | https://pafmj.org/index.php/PAFMJ/article/view/5454 |
| work_keys_str_mv | AT muhammadmohsinsajjad adultpneumococcalmeningitispresentingwithstrokelikesymptoms AT sidrayousaf adultpneumococcalmeningitispresentingwithstrokelikesymptoms |