Chronic Meningitis accounts for fewer cases of meningitis. It is very difficult to find the culprit organism and treat the same. Complications like hyponatremia, hydrocephalus, neurological impairement should always be suspected early in patients with chronic meningitis and should be treated with multi-disciplinary team approach. We encountered a case of traumatic brain injury who eventually developed meningitis, hydrocephalus and was treated for same multiple times and was discharged home with some neurological impairment.

1. Satish V Khadilkar1, Nilesh Nadkarni2 Approach to Chronic Lymphocytic Meningitis Journal of the Association of Physicians of India Vol. 63 September 2015.
2. Bacterial meningitis and neurological complications in adults Parunyou Julayanont MD, Doungporn Ruthirago MD, John C. DeToledo MD Bacterial meningitis and neurological complications in adults. The Southwest Respiratory and Critical Care Chronicles 2016;4(14)
3. Kasanmoentalib ES, Brouwer MC, van der Ende A, van de Beek D. Hydrocephalus in adults with community acquired bacterial meningitis. Neurology 2010; 75(10):918–23.
4. Bodilsen J, Schønheyder HC, Nielsen H. Hydrocepha­lus is a rare outcome in community-acquired bacterial meningitis in adults: a retrospective analysis. BMC Infect Dis 2013; 13:321.
5. Wang K-W, Chang W-N, Chang H-W, Wang H-C, Lu C-H. Clinical relevance of hydrocephalus in bacterial meningitis in adults. Surg Neurol 2005; 64(1):61–5; discussion 66.

Vishal Bhatt