Table of Contents
Washington University Experience | INFECTION | Bacteria | Meningitis | Meningitis, acute | 8A0 Case 8 History
Case 8 History ---- The patient was a 22 year old woman status post partum x 1 week with a history of recently diagnosed lymphocytic hypophysitis status post partial resection who died secondary to bacterial meningitis. She underwent partial trans-sphenoidal resection which showed lymphocytic hypophysitis. She was started on levothyroxine and high dose steroids and discharged. One month later she developed severe headache along with nausea/vomiting and chills and her neurologic status rapidly declined. Lumbar puncture showed bacterial infection with protein 733, glucose <20 and over 4000 neutrophils with microbiology showing abundant Gram negative bacilli, speciated as Klebsiella pneumoniae. Examination showed no evidence of neurological function and the patient died.
