Unveiling the Truth: Diagnosing Bacterial Meningitis Through Repeat Lumbar Punctures.

Cureus

Pulmonary and Critical Care Medicine, BronxCare Health System, New York, USA.

Published: June 2023

AI Article Synopsis

  • * Diagnosis mainly relies on lumbar puncture and imaging, but complications arise when results are unclear or inconclusive.
  • * A case study of a 60-year-old woman highlights the importance of clinical vigilance and suspicion in diagnosing bacterial meningitis, especially when initial tests fail to provide clear answers.

Article Abstract

Bacterial meningitis is a cause of global concern given its associated high rates of mortality and complications. Timely diagnosis and management are crucial in improving outcomes in patients. Lumbar puncture and radiological investigations form the crux of diagnosis. However, the clinical course becomes complicated if lumbar puncture results are unrevealing and equivocal for bacterial meningitis. We present a case of a 60-year-old female who was diagnosed with bacterial meningitis on repeated lumbar puncture. Clinical vigilance and a high degree of suspicion is needed to ensure that patients with bacterial meningitis are diagnosed and managed appropriately, especially in cases with inconclusive lumbar puncture or radiological investigations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362943PMC
http://dx.doi.org/10.7759/cureus.40811DOI Listing

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