An Adult Case of Pneumocephalus and Pneumococcal Meningitis Associated with the Sphenoid Sinusitis
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概要
- 論文の詳細を見る
A 60-year-old man was admitted to our hospital after being found at his home in a comatose state. Cerebrospinal fluid and blood cultures were positive for Streptococcus pneumoniae. Brain magnetic resonance imaging (MRI) revealed sinusitis in the sphenoid sinus. Computed tomography demonstrated the presence of multiple air pockets in the basilar cistern, and we diagnosed pneumococcal meningitis complicated with pneumocephalus. Multiple cerebral infarctions were found on brain MRI after admission. In this case, pneumocephalus was secondary to pneumococcal meningitis due to sinusitis on admission, and multiple cerebral infarctions after admission. We demonstrated that early diagnosis is required for the successful treatment of pneumococcal meningitis.
- 社団法人 日本内科学会の論文
著者
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Tanahashi Norio
Department Of Anesthesiology Osaka University Medical School
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Fukuoka Takuya
Department Of Marine Biotechnology Faculty Of Engineering Fukuyama University
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Dembo Tomohisa
Department Of Neurology School Of Medicine Keio University
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Kato Yuji
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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Nagoya Harumitsu
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Deguchi Ichiro
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Maruyama Hajime
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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Nagoya Harumitsu
Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Japan
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Ohe Yasuko
Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Japan
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Fukuoka Takuya
Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Japan
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Dembo Tomohisa
Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Japan
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Dembo Tomohisa
Department of Neurology and Cerebrovascular Medicine, Saitama International Medical Center, Saitama Medical University
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