Diagnosis
: Baterial meningitis
Course in the hospital:
The patient was started on intravenous
cefotaxime and dexamethasone. The repeated lumbar puncture on the second
day of admission ( 48 hours after starting the antibiotic) revealed :
protein 46 mg% sugar 89 mg% (blood sugar 137 mg%), WBC 3,720/cubic ml. (PMN 70%,
Mono 30%). The fever subsided in 48 hours.
protein 46 mg% sugar 89 mg% (blood sugar 137 mg%), WBC 3,720/cubic ml. (PMN 70%,
Mono 30%). The fever subsided in 48 hours.
The C.S.F. culture (first on day
1) grew Hemophilus influenzae not type b
Hemoculture : no growth
The C.S.F. culture (second on day 2, after 24 hours of the antibiotic) : no growth
Hemoculture : no growth
The C.S.F. culture (second on day 2, after 24 hours of the antibiotic) : no growth
Final
diagnosis : Hemophilus influenzae
not type b meningitis
Would Hib vaccine prevent menigitis
in this case?