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Published on: November 5, 2019
Air flight barotrauma and meningitis: causality seems real
1Department of Infectious Diseases, Charles University in Prague, Third Faculty of Medicine, Prague, Czech Republic.
Background:
Barotrauma to the middle-ear cavity and paranasal sinuses is a relatively common flight-related health problem. Occasionally, it may result in severe mechanical or infectious intracranial complications; these have been rarely reported to date.
Objective:
Four cases of acute bacterial meningitis following air travel are presented, and its pathogenesis is briefly described.
Conclusion:
Neurological symptoms occurring after air flight should prompt proper investigation. Otitis media and sinusitis are common primary focuses of bacterial meningitis. Severe complications of air flight barotrauma may be underreported.
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