Journal of Clinical Case Reports

Grist W

Publications

• Case Report
  Klebsiella Meningitis as the Initial Presentation of Macroprolactinoma: A Case Report
  Author(s): Elamir Y and Grist WElamir Y and Grist W
  
  Introduction: Gram negative bacterial meningitis is a rare initial presentation of a macroprolactinoma. Meningitis in these cases is likely caused by a defect in the sellar floor from surgical manipulation or treatment with a dopamine agonist causing rapid shrinkage of a tumor. Patients generally have headaches as the predominant symptom. Our case is an illustration of where meningitis is caused by a transsphenoidal surgery and where meningitis is the presenting symptom to diagnosing a macroprolactinoma. Case presentation: The patient is a 20-year old African female with history of transsphenoidal surgery over one year ago, who presents with headache associated with subjective fevers, nausea, and vomiting. The patient states that she had similar headaches for the past 2 years but not to this severity. She reports that when she was in her countr.. Read More»
  DOI: 10.4172/2165-7920.10001111

  Abstract PDF