July 2024 Critical Care Case of the Month: Community-Acquired Meningitis

Robert Raschke
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Abstract

No abstract available. Article truncated after 150 words. History of Present Illness A 62-year-old woman was brought to our emergency department at 0300 with a possible stroke. She was last known well at 2230 the previous evening, when she complained of severe headache and took some acetaminophen before going to bed. Her daughter (who provided all history) noted that the patient awoke about midnight, vomited and took some naproxen. The daughter next heard the patient awake at 0230, and found her back in the bathroom vomiting again, slow to respond, “mumbling” and confused. The daughter was able to get the patient into their car with some difficulty and drove her to the ER. Past Medical History, Social History, Family History Only minimal past medical history was elicited. There was no known trauma, no fever and no recent illnesses. The patient took no prescription medications. She did not have any history of neurological disease and no known history of …
2024 年 7 月 "本月重症监护病例":社区获得性脑膜炎
无摘要。文章在 150 字后截断。现病史 一位 62 岁的妇女因可能中风于 3 时被送到急诊科。据了解,她最后一次感觉良好是在前一天晚上 22 时 30 分,当时她诉说头痛得厉害,临睡前服用了一些对乙酰氨基酚。她的女儿(提供了所有病史)指出,病人在午夜时分醒来,呕吐并服用了一些萘普生。女儿在 2 时 30 分听到病人醒了,发现她又回到浴室呕吐,反应迟钝,"喃喃自语",神志不清。女儿好不容易才把病人弄上车,并开车把她送到急诊室。既往病史、社会史、家族史 只询问了极少的既往病史。病人没有已知的外伤,没有发烧,最近也没有生病。患者没有服用处方药。她没有任何神经系统疾病史,也没有已知的...
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