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Case report on a diver with type II decompression sickness and viral meningitis
T J Beckman1, M E Mullins, M D Matthews
1Naval Medical Clinic, Pearl Harbor, Hawaii 96860-5080, USA.
Summary
This case report details a scuba diver diagnosed with type II decompression sickness and viral meningitis. Standard recompression therapy successfully treated the decompression sickness, with viral meningitis managed concurrently.
Area of Science:
- Neurology
- Diving Medicine
- Infectious Diseases
Background:
- Decompression sickness (DCS) is a risk associated with scuba diving.
- Viral meningitis is an inflammation of the membranes surrounding the brain and spinal cord.
Observation:
- A 33-year-old male scuba diver presented with severe headache and right hand hypesthesia post-dive.
- Physical exam revealed right hand hypesthesia; head CT was normal.
- Lumbar puncture confirmed viral meningitis.
Findings:
- The patient was diagnosed with type II decompression sickness and viral meningitis.
- Standard recompression therapy led to near-complete resolution of DCS symptoms.
- This is the first reported instance of managing a patient with both conditions simultaneously.
Implications:
- Highlights the importance of considering concurrent medical conditions in divers.
- Suggests recompression therapy may be safely administered in patients with viral meningitis.
- Underscores the need for comprehensive diagnostic workups in divers presenting with neurological symptoms.
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