An Acute Ibuprofen Overdose Masking a Severe Staphylococcus aureus Meningitis : A Case Report
Joint Authors
Smetana, Matthew
Boehm, Kevin M.
Picard, Katy
Source
International Journal of Rotating Machinery
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Acute bacterial meningitis has a low incidence (3/100,000 in the United States) and yet high fatality rate (approximately 14–16%) and classically presents as a triad of fever, neck stiffness, and altered mental status.
However, less than half of patients with meningitis present with this classic triad.
We present the clinical course of a patient who initially presented to the emergency department after overdosing on ibuprofen for what he described as back pain secondary to mechanical injury.
However, the patient's condition quickly deteriorated: he developed tachycardia, mental status changes, was intubated due to respiratory distress, and then suffered an 8-minute PEA arrest before return of spontaneous circulation was achieved.
After the patient was stabilized, in addition to the nonsteroidal anti-inflammatory drug (NSAID) overdose Staphylococcus aureus meningitis, bacteremia, and pneumonia were diagnosed.
We report this case to illustrate that the initial presentation of meningitis may be extremely unusual especially in the setting of NSAID overdose and the acutely decompensating patient.
As the risk of adverse clinical outcomes increases with delays in appropriate antibiotic therapy, it is therefore crucial to recognize the many signs and symptoms of meningitis, typical and atypical, and quickly begin appropriate treatment.
American Psychological Association (APA)
Smetana, Matthew& Picard, Katy& Boehm, Kevin M.. 2013. An Acute Ibuprofen Overdose Masking a Severe Staphylococcus aureus Meningitis : A Case Report. International Journal of Rotating Machinery،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-484279
Modern Language Association (MLA)
Smetana, Matthew…[et al.]. An Acute Ibuprofen Overdose Masking a Severe Staphylococcus aureus Meningitis : A Case Report. International Journal of Rotating Machinery No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-484279
American Medical Association (AMA)
Smetana, Matthew& Picard, Katy& Boehm, Kevin M.. An Acute Ibuprofen Overdose Masking a Severe Staphylococcus aureus Meningitis : A Case Report. International Journal of Rotating Machinery. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-484279
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-484279