A Case Report of Pyrogenic Meningitis

https://doi.org/10.54037/WJPS.2022.100207

Abstract

A 24-year-old woman presented with a progressively worsening headache, fever, vomiting, nausea, neck pain for 10 days.  she had clinical signs of meningism. On admission, blood tests showed a normal C reactive protein and white cell count. Chest X-ray and CT of the head were normal. Cerebrospinal fluid (CSF) microscopy was Abnormal. CSF protein and glucose were in the abnormality. MRI of the head and cerebral angiography were also normal. The patient's clinical syndrome correlated with her virological diagnosis and no other cause of her symptoms was found. Her symptoms were self-limiting and improved with supportive management. This type of presentation is extremely rare in adult patients. The frequent causative organisms were Streptococcus pneumoniae. Therefore, repeat CSF analysis should be considered.