Liourdi D, Litsardopoulos P, Dimitropoulou D, Fatourou A, Argyriou AA. Pneumococcal Otogenic Meningitis Complicated With Pneumocephalus and Coma State.
Cureus 2020;
12:e10917. [PMID:
33194484 PMCID:
PMC7657374 DOI:
10.7759/cureus.10917]
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Abstract
We herein describe the unusual case of a male patient with pneumococcal otogenic meningitis, which was complicated with non-traumatic pneumocephalus and coma, in the absence of head trauma or a neurosurgical procedure. The initiation of an aggressive, empirical scheme with wide-spectrum antibiotics was achieved to stop the progression of meningitis, pneumocephalus, and their underlying causes in this patient. We propose pathogenetic mechanisms to explain this life-threatening condition.
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