2 / 5
allied
academies
Page 9
Notes:
Journal of Infectious Diseases and Medical Microbiology | Volume 3
J Infectious Disease Med Microbiol
| Volume 3
November 11-12, 2019 | Singapore
International Conference on
3
rd
International Conference on
Pathology and Infectious Diseases
Pathology and Oncology Research
Joint Event
&
A
16 year old female presented to Emergency Department
with complaint of a severe headache for 3 days, vomiting,
and a low grade fever. She had previously been diagnosed 3
weeks earlier with Epstein - Barr virus andwas currently taking
oral prednisolone. The work up in the ED found an increase
intracranial pressure up to 50cm H2O with CSF WBC of 3661
with 96%PMN, very low glucose at < 5mg/dl and high protein
at429mg/dlwhichiscompatiblewithbacterialmeningitis.The
chest x-ray showed suspicionof pulmonary emboli. Antibiotics
initially given in the Emergency room were ceftriaxone and
vancomycin. She was also intubated and put on respiratory
support. Metronidazole was added on day 2 of admission.
The blood, urine, and CSF all showed no growth on culture
and the meningo-encephalitis panel PCR was negative for
usual bacterial viruses and fungal pathogens. A bacterial PCR
collected from the bronchial lavage was sent out to find the
actual causative agent. A subsequent CT scan with contrast of
the neck found an internal jugular vein thrombosis. After six
days of admission, she developed severe brain swelling and
herniated, no further intervention was done as requested by
her mother and she expired on that day.
Speaker Biography
Pisespong Patamasucon, M.D. is the Director of Pediatric Infectious
Diseases at Rocky Mountain Hospital for Children. Previously the Director
of Pediatric Infectious Diseases and Professor of Pediatrics at the University
of Nevada School of Medicine. He studied at the Chiang Mai University
in Thailand before completing pediatric residencies at the Children's
Hospital in Bangkok, Thailand, and Georgetown University in Washington
D.C. Following his Georgetown residency, he has completed a fellowship
at the University of Texas South Western Medical School in Dallas. Prior
to his roles at the University of Nevada School of Medicine, he was the
Director of Pediatric Infectious Diseases and Director of the International
Health Program at the University of Tennessee Medical Center at Knoxville.
While at the University of Tennessee, Dr. Patamasucon established and
oversaw an exchange program between the university's medical program
and schools and teaching hospitals in Thailand.
e:
Pisespong.patamasucon@hcahealthcare.comPisespong Patamasucon
Rocky Mountain Hospital for Children, USA
Fatal case of non-culturable Meningitis with Pulmonary Embolism