Case 52-1976: Cardiac Enlargement Complicating Haemophilus Influenzae Meningitis in a Child

Presentation of Case A five-year-old boy was admitted to the hospital because of meningitis. He was well until 10 days previously, when a sore throat and fever developed. He was seen at another hospital, where erythromycin was prescribed. The sore throat improved, but fever persisted, with malaise, abdominal discomfort and a stiff neck. During the five days before entry his family noticed slight slurring of his speech and a tendency to sway to either side on walking. One day before admission he was seen at a second hospital. The white-cell count was 12,000, with a slight shift to the left.