Abstract
Otogenic infection is the most common cause of meningitis.Therefore, it should be ruled out during clinical assessment of a patient with any intracranial infection. Masked mastoiditis is a known intratemporal complication of acute otitis media after inadequate antimicrobial treatment. It is defined as inflammation of mucosal lining and bony structures of the mastoid air cells with an intact tympanic membrane. It should be regarded as the source of infection in a patient with meningitis and positive radiological findings of mastoiditis even though the patient does not have any evidence of ear infection clinically. We report a case of bacterial meningitis following masked mastoiditis in an 68-years-old man.Bangladesh Journal of Medical Science Vol.16(3) 2017 p.458-460
Highlights
Otogenic infection is the most common cause of meningitis.it should be ruled out during clinical assessment of a patient with any intracranial infection
Lumbar puncture result showed high level of cerebrospinal fluid (CSF) protein suggest TB meningitis so antituberculosis medicine was started along with IV Rocephine despite no organism grows obtain from CSF culture
ENT team was consulted for possible middle ear infection as a source of infection
Summary
Otogenic infection is the most common cause of meningitis.it should be ruled out during clinical assessment of a patient with any intracranial infection. The patient was afebrile without any neurological deficit and meningism. Members denied any symptom and sign of ear infection such as otalgia and otorrhea. Lumbar puncture result showed high level of cerebrospinal fluid (CSF) protein suggest TB meningitis so antituberculosis medicine was started along with IV Rocephine despite no organism grows obtain from CSF culture.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
