Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
An Adult Case of Pneumocephalus and Pneumococcal Meningitis Associated with the Sphenoid Sinusitis
Yasuko OheHajime MaruyamaIchiro DeguchiTakuya FukuokaYuji KatoHarumitsu NagoyaTomohisa DemboNorio Tanahashi
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JOURNALS OPEN ACCESS

2012 Volume 51 Issue 9 Pages 1129-1131

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Abstract

A 60-year-old man was admitted to our hospital after being found at his home in a comatose state. Cerebrospinal fluid and blood cultures were positive for Streptococcus pneumoniae. Brain magnetic resonance imaging (MRI) revealed sinusitis in the sphenoid sinus. Computed tomography demonstrated the presence of multiple air pockets in the basilar cistern, and we diagnosed pneumococcal meningitis complicated with pneumocephalus. Multiple cerebral infarctions were found on brain MRI after admission. In this case, pneumocephalus was secondary to pneumococcal meningitis due to sinusitis on admission, and multiple cerebral infarctions after admission. We demonstrated that early diagnosis is required for the successful treatment of pneumococcal meningitis.

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© 2012 by The Japanese Society of Internal Medicine
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