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Bacterial meningitis and COVID-19: a complex patient journey
A woman in her 70s presented to the emergency department with fever, fluctuating cognition and headache. A detailed examination revealed neurological weakness to the lower limbs with atonia and areflexia, leading to a diagnosis of bacterial meningitis, alongside a concurrent COVID-19 infection. The...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938971/ https://www.ncbi.nlm.nih.gov/pubmed/33674294 http://dx.doi.org/10.1136/bcr-2020-239533 |
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author | Hurn, Eliot Dickinson, Lauren Abraham, Jijee Annie |
author_facet | Hurn, Eliot Dickinson, Lauren Abraham, Jijee Annie |
author_sort | Hurn, Eliot |
collection | PubMed |
description | A woman in her 70s presented to the emergency department with fever, fluctuating cognition and headache. A detailed examination revealed neurological weakness to the lower limbs with atonia and areflexia, leading to a diagnosis of bacterial meningitis, alongside a concurrent COVID-19 infection. The patient required critical care escalation for respiratory support. After stepdown to a rehabilitation ward, she had difficulties communicating due to new aphonia, hearing loss and left third nerve palsy. The team used written communication with the patient, and with this the patient was able to signal neurological deterioration. Another neurological examination noted a different pattern of weakness to the lower limbs, along with new urinary retention, and spinal arachnoiditis was identified. After more than 10 weeks in the hospital, the patient was discharged. Throughout this case, there were multiple handovers between teams and specialties, all of which were underpinned by good communication and examination to achieve the best care. |
format | Online Article Text |
id | pubmed-7938971 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-79389712021-03-21 Bacterial meningitis and COVID-19: a complex patient journey Hurn, Eliot Dickinson, Lauren Abraham, Jijee Annie BMJ Case Rep Case Report A woman in her 70s presented to the emergency department with fever, fluctuating cognition and headache. A detailed examination revealed neurological weakness to the lower limbs with atonia and areflexia, leading to a diagnosis of bacterial meningitis, alongside a concurrent COVID-19 infection. The patient required critical care escalation for respiratory support. After stepdown to a rehabilitation ward, she had difficulties communicating due to new aphonia, hearing loss and left third nerve palsy. The team used written communication with the patient, and with this the patient was able to signal neurological deterioration. Another neurological examination noted a different pattern of weakness to the lower limbs, along with new urinary retention, and spinal arachnoiditis was identified. After more than 10 weeks in the hospital, the patient was discharged. Throughout this case, there were multiple handovers between teams and specialties, all of which were underpinned by good communication and examination to achieve the best care. BMJ Publishing Group 2021-03-05 /pmc/articles/PMC7938971/ /pubmed/33674294 http://dx.doi.org/10.1136/bcr-2020-239533 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. |
spellingShingle | Case Report Hurn, Eliot Dickinson, Lauren Abraham, Jijee Annie Bacterial meningitis and COVID-19: a complex patient journey |
title | Bacterial meningitis and COVID-19: a complex patient journey |
title_full | Bacterial meningitis and COVID-19: a complex patient journey |
title_fullStr | Bacterial meningitis and COVID-19: a complex patient journey |
title_full_unstemmed | Bacterial meningitis and COVID-19: a complex patient journey |
title_short | Bacterial meningitis and COVID-19: a complex patient journey |
title_sort | bacterial meningitis and covid-19: a complex patient journey |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938971/ https://www.ncbi.nlm.nih.gov/pubmed/33674294 http://dx.doi.org/10.1136/bcr-2020-239533 |
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