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Just another case of bacterial meningitis… or… is it?
  1. L N R Bondugulapati1,2,
  2. C E Gilkes3
  1. 1Cardiff University, Cardiff, UK
  2. 2Division of Endocrinology, Wrexham Maelor Hospital, Wrexham, UK
  3. 3Neurosurgical Unit, Walton Centre, Liverpool, UK
  1. Correspondence to Dr L N R Bondugulapati, simmy.omc{at}


Non-traumatic cerebrospinal fluid (CSF) rhinorrhoea is a rare condition. We describe a case of a 62-year-old woman with pneumococcal bacterial meningitis who later was found to have CSF rhinorrhoea secondary to an eroding skull base tumour, which was proven to be pituitary macroadenoma on biopsy. She recovered well from meningitis without any neurological sequelae and underwent trans-sphenoidal surgery for tumour removal as well as dural repair.

  • pituitary disorders
  • meningitis
  • ear, nose and throat/otolaryngology

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  • Contributors LNRB: dealt with patient management during the acute medical admission. Conceptualised, searched literature and drafted the article as well as final changes. Checked for the accuracy and integrity of the article. CEG: dealt with surgical management of the patient, contributed to the changes in the initial draft/revision of the article. Checked for the accuracy and integrity of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.