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Abstract:

A 20-year-old man presented with acute headaches to a primary care hospital. The patient was treated by a general practitioner for bilateral purulent tonsillitis with corticosteroid (1 mg/kg of prednisone) and antibiotics (3 g/day of amoxicillin/clavulanic acid) for 5 days. He reported spontaneous thunderclap bilateral headaches with a 6/10 on a visual analogue pain scale.

photo credit: bikeriderlondon/Shutterstock

 

 

Discussion

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Comments

  1. Eric Holbrook

    I would use caution in performing a lumbar puncture in any patient with a pneumocephalus that may be under tension to avoid the risk of brain herniation.

    Reply
  2. Dr Hung

    streptococcus

    Reply
  3. Marco Cesar Jorge dos Santos

    Cerebral venous sinus thrombosis

    Reply
    1. Roberto

      I agree

      Reply

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