question-icon

How to check misdiagnosis of spinal and meningococcal meningitis?

default
Posted on Thu, 5 Mar 2015
Question: I'm a black man with a history of meningitis. spinal and meningococcal meningitis in my life time. Later on I was diagnosed with SLE lupus
What are the possibility I was misdiagnosed in the past
Ask to a rheumatologist or other doctors only who been certified by the XXXXXXX college of rheumatology that treat lupus patients
doctor
Answered by Dr. Naval Mendiratta (26 minutes later)
Brief Answer:
? Is it lupus

Detailed Answer:
Good evening

Thank you for writing on health care magic

Well there is always a possibility which we see in our patients when meningitis may be the first presentation of lupus. Question is when to suspect?

We suspect it if there are multiple hyperintensitities in different parts of the brain and spinal cord diagnosed on MRI especially if the patient does not have any associated features like oral ulcers, joint pains, hair fall, rash over the face and arms. The closest differential diagnosis comes to infection or multiple Sclerosis. But considering Strong ANA Positivity along with the MRI findings it has a strong suspicion of lupus( Lupus Cerebritis).

There is a possibility you may have had lupus at that time as well, but it is quite difficult to suspect it at that stage as infection seems a more likely category. Considering SLE to be a disease of the females, at times the index of suspicion is not so high in males. But we do see lot of Lupus presenting like these conditions and they need high dose of steroids.

Other possibility is your autoimmune system could have been triggered by an infection( like meningitis). This can only be distinguished if we knew that ANA was earlier negative but post infection it became positive. You can check your records for it and it will give you a better idea.

Never the less, now since you have been diagnosed i hope you are on the right tract of treatment for it and you are keeping healthy

Do let me know for more queries. Would be happy to help out

Hope the information was useful

REgards
Dr Naval
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

premium_optimized

The User accepted the expert's answer

Share on
How to check misdiagnosis of spinal and meningococcal meningitis?

Brief Answer: ? Is it lupus Detailed Answer: Good evening Thank you for writing on health care magic Well there is always a possibility which we see in our patients when meningitis may be the first presentation of lupus. Question is when to suspect? We suspect it if there are multiple hyperintensitities in different parts of the brain and spinal cord diagnosed on MRI especially if the patient does not have any associated features like oral ulcers, joint pains, hair fall, rash over the face and arms. The closest differential diagnosis comes to infection or multiple Sclerosis. But considering Strong ANA Positivity along with the MRI findings it has a strong suspicion of lupus( Lupus Cerebritis). There is a possibility you may have had lupus at that time as well, but it is quite difficult to suspect it at that stage as infection seems a more likely category. Considering SLE to be a disease of the females, at times the index of suspicion is not so high in males. But we do see lot of Lupus presenting like these conditions and they need high dose of steroids. Other possibility is your autoimmune system could have been triggered by an infection( like meningitis). This can only be distinguished if we knew that ANA was earlier negative but post infection it became positive. You can check your records for it and it will give you a better idea. Never the less, now since you have been diagnosed i hope you are on the right tract of treatment for it and you are keeping healthy Do let me know for more queries. Would be happy to help out Hope the information was useful REgards Dr Naval