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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
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.