Unveiling the Truth: Diagnosing Bacterial Meningitis Through Repeat Lumbar Punctures

Cureus. 2023 Jun 22;15(6):e40811. doi: 10.7759/cureus.40811. eCollection 2023 Jun.

Abstract

Bacterial meningitis is a cause of global concern given its associated high rates of mortality and complications. Timely diagnosis and management are crucial in improving outcomes in patients. Lumbar puncture and radiological investigations form the crux of diagnosis. However, the clinical course becomes complicated if lumbar puncture results are unrevealing and equivocal for bacterial meningitis. We present a case of a 60-year-old female who was diagnosed with bacterial meningitis on repeated lumbar puncture. Clinical vigilance and a high degree of suspicion is needed to ensure that patients with bacterial meningitis are diagnosed and managed appropriately, especially in cases with inconclusive lumbar puncture or radiological investigations.

Keywords: bacterial cerebrospinal meningitis; bacterial cns infection; bacterial meningitis and the need for repeated lumbar puncture; decoding bacterial meningitis -the crucial role of lumbar puncture in diagnosis; lumbar puncture -a vital diagnostic tool in bacterial meningitis.

Publication types

  • Case Reports