A Case of Ketorolac-Induced Aseptic Meningitis

Lauren Shahin1,2, Azjaah Rogers1, Leroy Swain3

  • 1Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA.

Cureus
|May 1, 2024
PubMed

Insights

Drug-induced aseptic meningitis, an inflammatory reaction to medications like NSAIDs, mimics infectious meningitis. Early suspicion is key for diagnosis when CSF analysis is negative.

Area of Science:

  • Neurology
  • Pharmacology
  • Immunology

Background:

  • Drug-induced aseptic meningitis is a rare adverse drug reaction.
  • It presents with symptoms similar to infectious meningitis, posing diagnostic challenges.

Observation:

  • Patients often exhibit fever, headache, and neck stiffness.
  • Cerebrospinal fluid analysis and culture results are typically negative for infection.

Findings:

  • A case of nonsteroidal anti-inflammatory drug (NSAID)-induced aseptic meningitis is presented.
  • Highlights the inflammatory, non-infectious nature of this condition.

Implications:

  • Healthcare providers need a high index of suspicion for drug-induced aseptic meningitis.
  • Prompt recognition is crucial for appropriate patient management and avoiding unnecessary antimicrobial treatment.

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