Diplopia & Meningococcal Carrier: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Diplopia, Meningococcal Carrier,

Negated

None

Unsure

None

Possible Causes

Meningitis

[…] et al, 2018 A 56-year-old woman with acute vertigo and diplopia Neurol 90:748-752, Sharma, R. [neudle.com]

Proportion of meningococcal carriers and high‐risk persons who were culture‐negative at end of follow‐up. Occurrence of relapse and re‐colonisation. [doi.org]

These episodes resolve spontaneously and are followed by symptom-free periods of weeks to months Transient neurological abnormalities, including seizures, diplopia, pathologic [emedicine.medscape.com]

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Meningococcal Meningitis

A suspected case of meningococcal meningitis was diagnosed in a 24-year-old sailor onboard an aircraft carrier at sea in 2003. [ncbi.nlm.nih.gov]

[…] of incidence, carriage and case-carrier ratios for meningococcal meningitis in the African meningitis belt and describe their variations across the endemic, hyperendemic [ncbi.nlm.nih.gov]

Scatterplot of meningococcal serogroup A monthly incidence rates and carriage prevalence across case carrier observation units. [journals.plos.org]

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Pneumococcal Meningitis

About 1 in 10 people carry meningococcal bacteria in their nose or throat but don’t get sick from it; these carriers can still transmit the bacteria without knowing it. [everydayhealth.com]

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Hemophilus Meningitis

[…] disease can occur at any age, its incidence is highest in infants, adolescents and young adults.9 Adolescents and young adults are the primary carriers of meningococcal bacteria [pfizer.com]

For unknown reasons, only a small fraction of carriers develop meningitis. [columbianeurology.org]

PRP-OMP uses meningococcal group B outer membrane protein and is produced by Merck under the name PedvaxHIB , or as part of the Hib-Hep B combination vaccine (Comvax ). [vaccinesafety.edu]

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Staphylococcus Aureus Meningitis

Diplopia I. Papilledema 6. Mentation a. Delirium b. Drowsiness c. Stupor d. [atsu.edu]

About 1 in 10 people carry meningococcal bacteria in their nose or throat but don’t get sick from it; these carriers can still transmit the bacteria without knowing it. [everydayhealth.com]

Squint and diplopia with ptosis are common. Any of the ocular muscles may be paralyzed - most frequently, one or both external recti. [atsu.edu]

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Palmar Abscess

[…] as a painless black eschar on the palate or a nasal turbinate followed by epistaxis, headache, changes in mental status, and focal neurologic symptoms and signs (such as diplopia [microbiologybook.org]

A and C E Minocycline, 200 mg orally daily for 5 days, can eradicate the meningococcal carrier state, but because of side effects and resis- tance of many meningococcal strains [brainscape.com]

ジフテリア神経炎】 *diphtheritic pseudomembrane【ジフテリア偽膜】 *diphtheritic stomatitis【ジフテリア性口内炎】 *diplegia【両側麻痺両麻痺対麻痺】 *diplocoria【複瞳孔症】 *diplomelia【重複肢症】 *diplomellituria【二重糖尿(症)】 *diplopia [medo.jp]

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Meningeal Disorder

[…] projectile vomiting Papilledema- engorgement and elevation of optic disc; sometimes also see retinal hemorrhage Visual loss caused by transient or permanent optic nerve damage Diplopia [brainaacn.org]

For unknown reasons, only a small fraction of carriers develop meningitis. [columbianeurology.org]

CM-I Patients (364) Suboccipital headache (frequent retro-orbital component); exertional and postural accentuation 81 Ocular disturbances: floaters, blurring, photophobia, diplopia [clinicalgate.com]

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Bacterial Encephalitis

Suspicion of encephalitis/meningitis should prompt urgent transfer to Emergency Flu like symptoms associated with Headache Confusion Seizures Altered movement or sensation Diplopia [health.qld.gov.au]

It can be spread by droplets coughed or sneezed out by an infected person or by a carrier; many outbreaks of meningococcal infection occur in people living in close quarters [drreddy.com]

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CNS Metastasis

Diplopia is the most common cranial nerve symptom. Imaging Gadolinium-enhanced MRI is the modality of choice for both cranial and spinal sites. [rtnotes.wikidot.com]

Longitudinal study of meningococcal carrier rates in teenagers. Int J Hyg Environ Health 211(3-4):263-72, 2008. e-Pub 2007. PMID: 17981083. [faculty.mdanderson.org]

Other symptoms observed were abnormal behavior, vomiting, seizures, and diplopia/blurring of vision. [ijpmonline.org]

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AIDS-Associated Meningoencephalitis

She did not complain of diplopia or hearing loss. She has no significant family history. She is a homemaker. She is non-smoker and a teetotaler. [pubs.sciepub.com]

At any one time, about 10 to 25 per cent of the population are carriers. Meningococcal Septicaemia Some bacteria that cause meningitis can also cause septicaemia. [health24.com]

[…] inflamed meninges (including neck stiffness), raised intracranial pressure (including headache, confusion, altered level of consciousness, sixth cranial nerve palsies with diplopia [sajhivmed.org.za]

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Spondylitic Aortitis

Paralysis, Diarrhoea, Diastolic Dysfunction, Diet Refusal, Difficult To Wean From Ventilator, Difficulty In Walking, Diffuse Alveolar Damage, Dilatation Ventricular, Diplegia, Diplopia [bonkersinstitute.org]

Healthy Hepatitis B Surface Antigen Carriers.- Meningococcal Meningitis.- Meningococcal Infection.- Jacob-Creutzfeldt Disease.- Infection with Measles.- Infection with [bookdepository.com]

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Meningism

[…] syndrome was made.CASE PRESENTATION: A 6-year-old previously healthy boy from Sri Lanka presented with high grade fever, headache, photophobia and left eye pain for 10 days and diplopia [pesquisa.bvsalud.org]

In the past, travelers returning from Islam's Hajj pilgrimage were at increased risk for contracting meningitis or becoming carriers of N. meningitidis. [medscape.com]

The complaint of photophobia could be due to difficulties perceived due to diplopia and paralytic squint in abducens nerve palsy. [bmcpediatr.biomedcentral.com]

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Central Serous Chorioretinopathy

BACKGROUND: Many acute and chronic neurological sequelae from the quinoline derivative antimalarial drug mefloquine, including dizziness and effects on the visual system such as diplopia [ncbi.nlm.nih.gov]

Rifampin Rifampin, also known as rifampicin, is an antibacterial drug that is typically used to treat tuberculosis and meningococcal carriers. [doi.org]

CASE PRESENTATION: This case report describes a 30-year-old man of Pakistani descent with sudden onset of dizziness and diplopia following the administration of mefloquine [ncbi.nlm.nih.gov]

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Subdural Effusion

[…] and magnified MR images of a 39-year-old man with spontaneous intracranial hypotension who presented with a 1-month history of orthostatic headache, nausea, vomiting, and diplopia [ajnr.org]

These carriers are crucial to the spread of the disease as most cases are acquired through exposure to asymptomatic carriers. [jacmjournal.org]

There is also a 'meningococcal season' with 60%-65% of cases occurring in the first four months of the year. [2] The onset of symptoms is sudden and death can follow within [jacmjournal.org]

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Multiple Hamartoma Syndrome

Duclos in 1920. [2] Signs and symptoms [ edit ] Main clinical signs and symptoms include: headache movement disorders tremor visual disturbances abnormal EEG Diplopia Patients [en.wikipedia.org]

In the past, travelers returning from Islam's Hajj pilgrimage were at increased risk for contracting meningitis or becoming carriers of N. meningitidis. [medscape.com]

Clin Nucl Med. 2018; 43(10):e355-e356 [PubMed] Related Publications A 62-year-old woman, with the history of breast and colorectal cancer, presented intermittent diplopia. [cancerindex.org]

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Chronic Meningitis

[…] cryptococcomas Coccidioidomycosis Headache (75%); nausea and vomiting (40%); altered mental status (39%-73%); focal neurologic deficits, including ataxia, gait disturbance, diplopia [neupsykey.com]

Not everyone who is exposed to the bacteria that cause meningitis gets sick, but they may become carriers and can spread it to others. [medicalnewstoday.com]

She was hospitalized secondary to worsening headaches, nausea, and the onset of diplopia. [jpeds.com]

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Congenital Cerulean Cataract Type 5

[…] improved uncorrected near vision in emetropes) Poor vision in dark settings such as night driving Decreased contrast and decreased ability to discern colors Glare Monocular diplopia [eyewiki.aao.org]

(suspected) of amebiasis V02.2 bacterial disease (meningococcal, staphylococcal) NEC V02.59 cholera V02.0 cystic fibrosis gene V83.81 defective gene V83.89 diphtheria V02.4 [dentisty.org]

Carotinemia (dietary) 278.3 Carotinosis (cutis) (skin) 278.3 Carpal tunnel syndrome 354.0 Carpenter's syndrome 759.89 Carpopedal spasm (see also Tetany) 781.7 Carpoptosis 736.05 Carrier [dentisty.org]

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Ciprofloxacin

Sucralfate Theophylline Warfarin † Neurologic Confusion Dizziness Drowsiness Hallucinations Headaches Seizures Endocrine/Metabolic Glycosuria Hyper- and hypoglycemia Ocular Diplopia [jfponline.com]

Ciprofloxacin clears meningococcal carriage so reducing transmission to a susceptible host. [ncbi.nlm.nih.gov]

chromatopsia, diplopia, photopsia) Very rare (less than 0.01%): Visual color distortions Frequency not reported: Decreased visual acuity, blurred vision, cataracts, multiple [drugs.com]

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