Case Info - BotMed Application

CaseName

Presentation Case 10. Neisseria meningitidis

CaseDescription

A 19-year-old college student is brought to the ED from her dorm room, where she was found by her roommate in a confused state. She complains of fever, nausea, vomiting, and pain in her neck and head. She has a petechial rash on her legs.

PhysicalExams

Labs

CSF examination reveals a glucose level o 22 mg/dL, a protein level o 140 mg/dL, and a WBC count of 1400/mm3.

ImagingStudies

Comment

Neisseria meningitidis. Suspect meningococcal meningitis in a very ill patient with ever, headache, altered mental status, a petechial rash in the lower extremities, and a CSF pro le indicative o bacterial meningitis.