Etat confusionnel avec pneumencéphale: quel est votre diagnostic [A patient with confusion and pneumocephalus: what is your diagnosis?]

Details

Serval ID
serval:BIB_C96EAFE67CC3
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Etat confusionnel avec pneumencéphale: quel est votre diagnostic [A patient with confusion and pneumocephalus: what is your diagnosis?]
Journal
Praxis
Author(s)
Cavassini R., Guyot E., Theumann N., Cavassini M.
ISSN
1661-8157
Publication state
Published
Issued date
2004
Volume
93
Number
50
Pages
2105-7
Language
french
Notes
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
Abstract
We report the case of a 58 year old male who presented with acute meningoencephalitis and pneumocephalus (intracranial air) visualized on head CT scan. Despite the lack of typical clinical signs such as retroauricular tenderness, red tympanic membrane or otorrhea, mastoiditis was suggested by head CT scan. The patient made a full recovery after mastoidectomy and six weeks of antibiotic therapy. Streptococcus pneumoniae grew from a surgical purulent mastoid tissue sample. Mastoiditis and its complications are rare in adults. A high level of clinical suspicion is needed when a patient presents with encephalitis of unclear origin.
Keywords
Confusion, Diagnosis, Differential, Humans, Male, Mastoid, Mastoiditis, Meningoencephalitis, Middle Aged, Pneumocephalus, Pneumococcal Infections, Tomography, X-Ray Computed
Pubmed
Create date
11/04/2008 12:00
Last modification date
20/08/2019 15:44
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