Recurrent meningitis ?TBM/CHRONIC BACTERIAL MENINGITIS

Patient is a male. 28yrs. Wt 78kgs Ht 1.67m BMI 28 COMPLAINTS: Severe headaches x 5 days. Bs for malaria was positive last week. Treated with p-alaxin and got well. However, the headaches have persisted (frontal headaches). Associated with blurry vision, mild neck pains and alot of photophobia. During treatment of malaria he frequency and polydipsia but this has since resolved after taking the antimalarials. Other Labs : FBS, RBS and Urine Analysis were normal. Yesternight client was worse. Severe headaches and photophobia not responding to IV tramadol on any NSAIDS. Client was started on IV Rocephine 2gm bid and IV gentamicin 80mg bid emperically for meningitis 24hrs ago. Today Complete blood count showed as attached. CURRENTLY No headaches. No photobobia. No fevers. Client has mild dizziness and neck pain on flexion of the head. Other systems - Unremarkable What's your diagnosis and plan of management?

A young female aged 20 yrs presented with history of Fever high grade, Agitation and Headache since 3 days f/b Altered Sensorium since 2 days...No history of any comorbidity or any drug intake is present....Discuss the differential n treatment approach to this pt ...

32yrs old male presented to casualty with 1 day H/o Fever,Headache,Photophobia, Restlessness and stiffness of the neck.Suspecting to be a case of meningitis for which LP was done,His optic disc was normal with no focal neurological deficits and plantars are flexor. H/o Fire arm injury to head back in 2001 for which left debridement craniotomy was done at other some other hospital.Patient was diagnosed as a case of bacterial meningitis.TLC - 20000 Interpret CTB and kindly suggest proper treatment plan??

8yrs old male boy admitted on 3/9/18 with complaints of Fever,Headache and vomitting for one days,there is a Hx of hydrocephalus when he was 8mnth old,For which Ventriculo peritoneal shunt was done at the age of 8mnth.No neurological deficits present. O/e Conscious,Awake and oriented,Febrile 38.7°c.GCS - 15/15,Moving all four extremities,Pupils bilaterally 4mm RTL.vitally stable.Patient improving symptomatically. What could be the possible reason behind this headache and fever and what should be done??

A 70 yr old patient presented with altered sensorium and irrelevant talkng since 1 day...no other comorbidities or drug history is present...Vitals were stable and no focal neurological deficit was seen...On initial investigations, he was found to have hyponatremia which was corrected but the patient remained in Altered Sensorium..MRI brain was done...comment on the management of this pt....