1. Case report “headache” (2)
Dr. David Tran
Medical meeting
1st september 2010

2. Man 64 years old 19/06/10: Consults for fever & bodyache for 4 days
Pulse 97/min, BP 140/75, G15, T 38, FR 18, SaO2 98%
Past history of head injury 45 years ago
Physical exam normal, no neck stiffness, no neurological symptoms
Urinary test: leuco ++, nitrite -, blood -

3. Blood test Dengue serology negative (IgM & IgG)
CBC: WBC (80%N, 10% mono, 8% lympho)
CRP 2.5mg

4. Follow up 20/06/10
The patient is hospitalized in medical ward for “infectious condition”
Head CT scanner is performed the day after.

5. Head CT scanner result

6. Evolution 21/06/2010 Persistant headaches
Decision to perform lumbar puncture because CRP increased 42mg, WBC (78% N, 13% mono, 7% lympho) and still fever.

7. Cytology results of LCR

8. Chemical results of LCR

9. Bacteriologic results LCR

10. LCR analysis and management

11. Evolution: comatose > ICU