Asymptomatic chronic sinusitis as an atypical presentation of meningitis

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Authors

David Hwang, Beaumont Health Resident
Laura Azzouz, Beaumont Health
Zeshan Choudhry, Beaumont Health Resident
Benjamin Rossi, Beaumont Health

Description

Introduction We present a unique case report of asymptomatic acute on chronic pansinusitis with parameningeal involvement as an atypical presentation of meningitis with associated pyrexia, nuchal rigidity, and headaches. Following initial admission, patient clinically deteriorated subsequently requiring emergent surgical debridement with ENT with cultures demonstrating fusobacterium nucleatum. This case presentation is of unique interest given long term neurological sequelae which can manifest as a result of delayed therapy, both medical and surgical, which includes but is not limited to permanent vision loss, ataxia, gait difficulty, and long standing sensorimotor deficits. We hope to provide additional educational resources given the lack of clear standard treatment protocols for meningitis secondary to sinusitis and rare clinical scenario

Publication Date

5-2022

Keywords

Sinusitis, meningitis

Disciplines

Internal Medicine

Recommended Citation

Hwang D, Azzouz L, Choudhry Z, Rossi B. Asymptomatic chronic sinusitis as an atypical presentation of meningitis. Beaumont Hospital Farmington Hills 2022 Alvin Yarrows Research Day; 2022 May; Farmington Hills, MI.

Comments

2022 Alvin Yarrows Research Day at Beaumont Hospital Farmington Hills, Farmington Hills, MI, May 2022.