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Case Studies | Ophthalmology | India | Volume 13 Issue 1, January 2024 | Rating: 5.2 / 10
A Case of Partially Treated Pyogenic Meningitis Developing 3rd Nerve Palsy as Complication
Vandana Yadav, Ashok Kumar Yadav
Abstract: This study presents a comprehensive analysis of a pediatric case of pyogenic meningitis, emphasizing the importance of complete antibiotic treatment to prevent serious complications such as third nerve palsy. The case involves a 5 - month - old female previously diagnosed with pyogenic meningitis, who displayed symptoms like the inability to open the left eye, vomiting, and irritability. Despite initial improvement with intravenous antibiotics, the incomplete treatment course led to severe complications. The patient?s condition was extensively investigated through various tests, including CBC, CRP, blood culture, CSF analysis, and ophthalmic examinations. The findings revealed severe ptosis in the left eye with third nerve palsy and grade 2 papilledema. While the patient showed symptomatic improvement with a renewed course of antibiotics and medications for raised intracranial tension, the third nerve palsy remained unresolved. This case underscores the critical need for a complete antibiotic regimen in treating pyogenic meningitis to prevent irreversible, life, and vision - threatening complications.
Keywords: Pyogenic meningitis, Third nerve palsy, Pediatric neurology, Antibiotic treatment, Intracranial tension
Edition: Volume 13 Issue 1, January 2024
Pages: 321 - 323