Table of Contents
Washington University Experience | NEOPLASMS (MENINGIOMA) | Gross Pathology | 3A0 Case 3 History
Case 3 History ---- The patient was a 58 year-old man with a past medical history of schizophrenia, hepatitis C and a traumatic right eye enucleation, admitted with a 6-8 week history of progressive weakness, 3 week history of cough, and three day history of fever. He was previously noted to have dysphagia with aspiration and bilateral infiltrates on chest X-ray and a bladder infection which were treated with antibiotics. His weakness progressed to flaccid paralysis. Cerebral angiogram and MRI showed a left posterior fossa mass. He was started on Decadron for cerebral edema in anticipation of a possible future resection. He continued in a fairly stable clinical state, off antibiotics, for about 1.5 weeks but then began spiking fevers and was restarted on antibiotics. Blood cultures at that time grew coagulase-negative Staphylococci. He continued treatment but was found in PEA arrest and could not be resuscitated.
