Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Etat confusionnel avec pneumencéphale: quel est votre diagnostic [A patient with confusion and pneumocephalus: what is your diagnosis?]
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
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.
Confusion, Diagnosis, Differential, Humans, Male, Mastoid, Mastoiditis, Meningoencephalitis, Middle Aged, Pneumocephalus, Pneumococcal Infections, Tomography, X-Ray Computed
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