ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Case Report
Streptococcus pneumonia-induced meningoencephalitis presenting as rhinitis and acute stroke!
Abstract
Meningoencephalitis, a potentially fatal condition marked by inflammation of the brain and medulla spinalis, can exhibit a wide range of symptoms. Streptococcus pneumonia, a gram-positive bacterium, is a common bacterial factor for this condition which can be challenging to diagnose due to its ability to resemble other diseases. Here, we report a case of a 48-years-old female with pneumococcal meningoencephalitis who presented with the symptoms of rhinitis, which is inflammation of the nasal passages and acute stroke treated with intravenous antibiotics and eventually admitted to the hospital. In this case report we would like to highlight that early diagnosis and proper treatment of meningoencephalitis are essential to improve patient outcomes, and physicians must recognize the central nervous system infections mimicking other diseases along with appropriate diagnostic approaches and management strategies.

Keywords : CNS infections, meningoencephalitis, stroke, rhinitis, emergency service

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1. Graus F, Titulaer MJ, Balu R, et al. A clinical approach to diagnosisof autoimmune encephalitis. Lancet Neurol. 2016;15(4):39-404.doi:10.1016/S1474-4422(15)00401-9
2. Khater WS, Elabd SH. Identification of common bacterial pathogenscausing meningitis in culture-negative cerebrospinal fluid samplesusing real-time polymerase chain reaction. Int J Microbiol,2016;2016:4197187. https://doi.org/10.1155/2016/4197187
3. McGill F, Griffiths MJ, Bonnett LJ, et al. Incidence, aetiology, andsequelae of viral meningitis in UK adults: a multicentre prospectiveobservational cohort study. Lancet Infect Dis, 2018;18(9):992-1003.https://doi.org/10.1016/S1473-3099(18)30245-7
4. Vilmane A, Terentjeva A, Tamosiunas PL, et al. Human parvovirusesmay affect the development and clinical course of meningitis andmeningoencephalitis. Brain Sci, 2020;10(6):339. https://doi.org/10.3390/brainsci10060339
5. Thigpen MC, Whitney CG, Messonnier NE, et al. Bacterial meningitisin the United States, 1998-2007. New England J Med. 2011;364(21):2016-2025. https://doi.org/10.1056/NEJMoa1005384
6. Tunkel AR, Hasbun R, Bhimraj A, et al. 2017 Infectious Diseases Societyof America’s Clinical Practice Guidelines for healthcare-associatedventriculitis and meningitis. Clin Infect Dis. 2017;64(6):e34-e65.doi:10.1093/cid/ciw861
7. Venkatesan A, Michael BD, Probasco JC, Geocadin RG, SolomonT. Acute encephalitis in immunocompetent adults. Lancet. 2019;393(10172):702-716. doi:10.1016/S0140-6736(18)32526-1
8. Kanaujia R, Biswal M, Angrup A, Ray P. Diagnostic accuracy of themetagenomic next-generation sequencing (mNGS) for detection ofbacterial meningoencephalitis: a systematic review and meta-analysis.Eur J Clin Microbiol Infect Dis. 2022;41(6):881-891. doi:10.1007/s10096-022-04445-0
9. van de Beek D, Cabellos C, Dzupova O, et al. ESCMID guideline:diagnosis and treatment of acute bacterial meningitis. Clin MicrobiolInfect. 2016;22 Suppl 3:S37-S62. doi:10.1016/j.cmi.2016.01.007
10. Solomon T, Michael BD, Smith PE, et al. Management of suspected viralencephalitis in adults--Association of British Neurologists and BritishInfection Association National Guidelines. J Infect. 2012;64(4):347-373.doi:10.1016/j.jinf.2011.11.014
11. Dorsett M, Liang SY. Diagnosis and treatment of central nervoussystem infections in the emergency department [published correctionappears in emerg med clin north am. 2017;35(2):xix]. Emerg Med ClinNorth Am. 2016;34(4):917-942. doi:10.1016/j.emc.2016.06.013
12. Michael BD, Solomon T. Seizures and encephalitis: clinical features,management, and potential pathophysiologic mechanisms. Epilepsia.2012;53 Suppl 4:63-71. doi:10.1111/j.1528-1167.2012.03615.x
Article available in :
Volume 1, Issue 3, 2023
Page : 55-56
https://doi.org/10.51271/ICJEM-0015
Article Information
Received : 01 Sep 2023
Accepted : 30 Sep 2023
Published : 30 Sep 2023
Corresponding Author :

Umut Ocak: University of Health Sciences, Bursa Faculty of Medicine, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Emergency Medicine

[email protected]
Citation : Ocak U, Arıcılar F, Özay, R. et al. Streptococcus pneumoniae-induced meningoencephalitis presenting as rhinitis and acute stroke. Intercont J Emerg Med. 2023;1(3):55-56.

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