Atypical Presentation of Bacterial Meningitis in an Elderly Patient– A Case Report

Abstract

Bacterial meningitis is a serious infection that typically presents with a classic triad of fever, headache, and neck stiffness. However, atypical presentations can obscure the diagnosis, leading to delayed treatment and adverse outcomes. We present a case of a 65-year-old male who initially presented with lower back pain, right lower limb pain and weakness, swelling, and fever, without the characteristic signs of meningitis. This atypical presentation led to initial misdiagnoses of multiple myeloma and urinary tract infection. The patient subsequently developed seizures. A definitive diagnosis of bacterial meningitis was made through cerebrospinal fluid analysis and MRI of the brain. This case underscores the importance of considering atypical presentations of bacterial meningitis, particularly in elderly patients, to ensure timely diagnosis and appropriate management.

Keywords: Bacterial Meningitis, Elderly, Pakistan