бактериальный гнойный менингит, пневмококковый менингит, спинномозговая жидкость, маркеры воспаления, цитоз, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282

The article presents a clinical example of the difficulty in diagnosing meningitis in a patient with unexpressed meningeal symptom complex. Among various diagnostic and therapeutic approaches, there are key research methods that have made it possible to identify the nature of the infectious process, to diagnose secondary otogenic bacterial pneumococcal meningitis, and to conduct etiotropic antibiotic therapy. The analysis of this clinical case showed that the severity of the infectious and inflammatory process was determined not only by the causative agent of Streptococcus pneumoniae, but also by the existing secondary immunodeficiency state (diabetes mellitus, implants, etc.). In connection with this, significant attention was given not only to the correction of glycemia and antimicrobial therapy, but also to antioxidant therapy, which ensured success of the treatment.