Bacterial meningitis presenting as acute torticollis

Mukherjee, Samudra; Sharief, N.

doi:10.1080/08035250410030900

Cited by 1 publication

(2 citation statements)

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“…Neck stiffness is a protective reflex that shortens the spinal axis restricting movement and immobilizing the irritated tissue, causing a spasm of the exterior muscles [4]. In some cases this may be more severe leading to neck pain, torticollis and opisthotonus [5]. …”

Section: Discussionmentioning

confidence: 99%

“…Isolated torticollis, without any other signs or symptoms, is exceedingly rare. A review of the literature resulted in only two reported cases, both in pediatric patients [2, 3]. We present here a case of an adult diabetic male who presented multiple times to the ED with complaint of isolated torticollis, who ultimately was diagnosed with bacterial meningitis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Isolated Torticollis May Present as an Atypical Presentation of Meningitis

Chirurgi

Kahlon

2012

Case Reports in Emergency Medicine

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Background. Bacterial meningitis is a life-threatening medical emergency that requires urgent diagnosis and treatment. Diagnosis is infrequently missed if the patient presents with the classic symptoms of fever, headache, rash, nuchal rigidity, or Kernig or Brudzinski sign. However, it may be less obvious in neonates, elderly, or immunocompromised patients. Meningitis which presents as isolated torticollis, without any other signs or symptoms, is exceedingly rare. Objective. To identify an abnormal presentation of meningitis in an adult immunocompromised patient. Case Report. We present a case of an adult diabetic male who presented multiple times to the ED with complaint of isolated torticollis, who ultimately was diagnosed with bacterial meningitis. Conclusion. We propose that in the absence of sufficient explanation for acute painful torticollis in an immunocompromised adult patient, further evaluation, possibly including a lumbar puncture may be warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%