A Child With Intermittent Headaches and Eosinophilic Meningitis

摘要

An 11-year-old previously healthy boy presented to the emergency department in March 2016 after 16 days of intermittent headaches associated with vomiting, 7 days of low-grade intermittent fevers, a wide-based gait, and weight loss. He was treated previously with diphenhydramine, promethazine, and ketorolac for headaches at 2 previous medical visits during this illness. Noncontrast magnetic resonance imaging (MRI) of the brain was performed on day 10 of illness, after his second presentation for medical care; the results were read as normal, and he was discharged home. He ultimately presented to our facility on day 16 of illness for further evaluation of his headaches and vomiting.