Death Report Meningoencephalitis TB + Non Communicating Hydrocephalus + Abcess CPA

Dextra + Thrombocytopenia + Hyponatremia + Hypocalcaemia + Septicemia

F/♀/10y/36Kg
27/07/2019 Patient was referred from William booth Hospital with chief complain decrease of
consciousness, vomiting, cephalgia and fever. BP 100/60; HR 126; RR 20; tax 36,6C SpO2
98%. Lab Hb 10,3; Wbc 13230; HCT 30,3; PLT 89000  Ampicillin injection, Gentamicin
injection, Blood culture  consulted to neuropediatric and ophthalmology division
28/07/2019 Seizure. Cephalgia. GCS335, HR 113, RR24, t 37,2C, SpO2 98%. Lab: OT 31/ PT 17/ Alb 2,6/
Cr 0,85/ BUN 14/ GDA 602/ Na 129/ K 3,2/ Cl 92/ Ca 7/ Mg 1,4  SE correction, head CT
scan  Mannitol
29/07/2019 Fever, cephalgia. Lab Hb 9,7/ HCT 28,2/ WBC 11670/ Plt 84000/ CRP 0.2/ OT 11/ PT 15/ GDA
105/ Alb 2.9/ BUN 6/ Creat 0.43/ Na 142/ Ka 5.7/ Cl 100/ Ca 8.1  PRC and TC transfusion
30/7/2019 Fever, vomiting, cephalgia. HR 100, RR 22, t 39C, GCS335. Mantoux tes, LCS analysis and
culture  OAT HRZE + prendnisone
31/7/2019
(10.00) Fever, dyspneu. BP 100/70 ,HR 104; RR 28; t 37,8 SpO2 97%. GCS335  Thermoregulation
and O2 mask
(22.00) Fever, dyspnea, cephalgia. GCS335; BP 100/70; HR110; t 41C; SpO2 97%
Thermoregulation
(05.30) Desaturation, decreased of consciousness, GCS225; HR55; RR 40; t 39,2, SpO2 78%, pupil
anisokor 3mm/4mm  resuscitation, O2 tight mask, family education
(06.00) BP unmeasurable, HR 40 bpm, RR VTP, SpO2 50 % resuscitation
(06.15) BP unmeasurable, HR 35 bpm, RR VTP, SpO2 unmeasurable resuscitation
(06.30) HR 0, RR 0, pupil mydriated maximally  patient died