I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Thursday, March 7, 2013
Only 20-25 cases of this disease have been described in the literature in the post-antibiotic era. A 10 year old girl is involved in a car accident where she has some mild facial trauma. Her head CT at the time is only notable for some sinusitis; she is observed for 24 hours and then discharged home. She then presents again to the emergency department with forehead swelling, headache, fever, chills, and rhinorrhea. Exam shows a minimally tender area of doughy, puffy edema. Her cranial nerve exam is normal. She has an elevated WBC count, ESR, CRP, and the CT shown above.
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