Two cases of rhinogenic meningitis after diving

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Two cases of rhinogenic meningitis induced by diving are reported. They were a scuba diving instructor, and a skin diving fisherman who both had a past history of chronic sinusitis and face or head trauma. They had both dived even though they suffered from acute exacerbation of sinusitis, and a few days later were admitted to our hospital with severe clinical signs of meningitis and intraorbital inflammation with exophthalmos.They were treated with bilateral sinuses operation and high dose antibiotics. Bacteriological examinations in both cases revealed Streptococcus pneumoniae from both sinus-exudates and also spinal fluids. As a result of suffering cerebrovascular disease during the course of meningitis, the instructor was discharged with right side hemiplegia and the fisherman was discharged with slight paresthesia of the right fingers. The authors warn that diving should be avoided during acute sinusitis, especially in people having a past history of face or head trauma.
日本鼻科学会の論文