Abstract
A man of 29 years old, who had undergone a submucous resection of the septum 8 days before, came to the authors' clinic complaining of headache, high fever, stiff-neck, nasal obstruction and swelling of the root and dorsum of the nose and of the left eyelids. He was diagnosed as “rhinogenous leptomeningitis purulenta” because of his general and local symptoms and findings of liquor. Accordingly he was treated with the application of erythromycin, streptomycin and chloromycetin. He recovered completely in 40 days.
The authors want to conclude that his leptomeningitis came, in lymphatic way, from an abscess in the nasal septum caused by the infection of the septal hematoma following the submucous resection of the septum.
Statistically the mortality of rhinogenous leptomeningitis has fallen under 10% by the adequate use of antibiotics during these 4 years.
