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Air flight barotrauma and meningitis: causality seems real

O Džupová1, J Beneš1

  • 1Department of Infectious Diseases, Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic.

The Journal of Laryngology and Otology
|January 23, 2020
PubMed
Abstract

Insights

Barotrauma from air travel can lead to serious intracranial complications like bacterial meningitis. Prompt investigation of neurological symptoms after flights is crucial for timely diagnosis and treatment.

Area of Science:

  • Otolaryngology
  • Neurology
  • Infectious Diseases

Background:

  • Barotrauma affecting the middle ear and sinuses is a common issue during air travel.
  • Intracranial complications, though rare, can arise from flight-related barotrauma.
  • Severe mechanical or infectious complications of barotrauma are infrequently documented.

Purpose of the Study:

  • To present four cases of acute bacterial meningitis occurring after air travel.
  • To briefly describe the pathogenesis of meningitis following air travel.

Main Methods:

  • Case series presentation.
  • Review of clinical data for four patients.
  • Pathogenesis discussion based on existing literature.

Main Results:

  • Four instances of acute bacterial meningitis post-air travel were identified.
  • Otitis media and sinusitis were identified as common preceding conditions.

Conclusions:

  • Neurological symptoms after air travel warrant thorough medical evaluation.
  • Bacterial meningitis can originate from common barotrauma-related infections like otitis media and sinusitis.
  • Underreporting of severe barotrauma complications from air travel may occur.
Keywords:
Air TravelBarotraumaMeningitis

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