You are here

Article Text

Article menu
Download PDFPDF
Reminder of important clinical lesson
CASE REPORT
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}gmail.com

Summary

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

http://dx.doi.org/10.1136/bcr-2018-225344

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • 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.