Just another case of bacterial meningitis… or… is it?

BMJ Case Rep. 2018 Jun 29:2018:bcr2018225344. doi: 10.1136/bcr-2018-225344.

Abstract

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.

Keywords: ear, nose and throat/otolaryngology; meningitis; pituitary disorders.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications*
  • Adenoma / diagnosis
  • Anti-Bacterial Agents / administration & dosage
  • Ceftriaxone / administration & dosage
  • Cerebrospinal Fluid Rhinorrhea / etiology*
  • Female
  • Humans
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / etiology*
  • Middle Aged
  • Pituitary Neoplasms / complications*
  • Pituitary Neoplasms / diagnosis
  • Skull Base Neoplasms / complications*
  • Skull Base Neoplasms / diagnosis
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Ceftriaxone