([dagger]) In the 30 days after blood product transfusion (e.g., fever, rigors, headache, meningismus
, paralysis, and mental status changes, and abnormalities in white blood cell count, transaminases, or cerebral spinal fluid [if clinically indicated]).
The patient most commonly presents with one or more of the following symptoms: fever, headaches, meningismus
, visual or mental status disturbances, or irritability.
Rosen's Emergency Medicine and Mettler: Essentials of Radiology add the following indications for imaging in headache: signs and symptoms of elevated intracranial pressure (eg, papilledema); meningismus
; partial seizure; nocturnal headaches that awaken the patient from sleep; increase in pain with coughing, sneezing or change in body position; sudden onset headaches that reach maximum intensity in 2 to 3 minutes; headache associated with mental status changes or decreased alertness; any new headache in an HIV-positive patient.
Straight leg raise did not elicit radicular pain, and she exhibited no meningismus
. Her dentition was fair, without obvious caries, and no oral lesions were present.
His condition was septic, with clinical symptoms of meningismus
and pulmonary congestion.
Neurologic complaints were visual disturbances, 25 patients (51%); headache, 16 (32%); gait difficulty, two (4%); hearing loss, two (4%); meningismus
, one (2%); altered mental status, one (2%); and unknown symptoms, two (4%).
Signs and symptoms of this include decreased level of consciousness, headache, neck pain, meningismus
, increased temperature, and blurred vision.
There was no regional adenopathy or evidence of meningismus
Symptoms of meningitis may include behavioral or mental status changes, fever, vomiting, meningismus
, and headache.
Symptoms in the patient were typical of neurologic disorders of IAE, including disorientation, meningismus
, agitation, seizures, and coma (2,4).
The patient also endorsed nasal congestion and several episodes of palpitations over the few months prior to presentation but denied photophobia, meningismus
, facial asymmetry, weakness, and dysarthria.
On examination, his temperature was 102.9[degrees] F (39.4[degrees] C), and he had meningismus
, photophobia, conjunctivitis, and hepatosplenomcgaly.