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Year : 1999  |  Volume : 4  |  Issue : 1  |  Page : 31-32

Purulent cerebral meningitis presenting as eclampsia

Department of Obstetrics and Gynaecology, Obafemi Awolowo College of Health Sciences, Ogun State University/Ogun State University Teaching Hospital, Sagamu, Nigeria

Correspondence Address:
A Okalawon Sule-Odu
P.O. Box 182, Sagamu, Ogun State
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Source of Support: None, Conflict of Interest: None

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A case of undiagnosed acute and fatal meningitis which pesented as eclampsia is presented. The patient presented with features suggestive of eclampsia, such as high blood pressure, proteinuria and fits. The definite diagnosis of meningitis caused by Neisseria Meningitidis was made at postmortem. This is the only case of meningitis in pregnancy reported in the hospital in a period of ten years (1987 - 1996) with 7,300 and 6758 total deliveries and live birth respectively and 86 maternal deaths (11.8 per 1000 births). It is suggested that high index of suspicion for meningitis be entertained for cases of eclampsia who have resided in the Northern part of the country in the past three months.

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