Case presentation A 13-year-old adolescent boy was referred to the ED by a pediatrician to evaluate fever and a frontal headache present for the last 6 to 7 days. The boy denied any current nasal discharge but reported having a cold three weeks ago. Past medical assessment and treatment The pediatrician diagnosed the patient with sinusitis and had previously prescribed the patient a 5-day course of amoxicillin.
However, the patient’s condition did not improve with the prescribed medication. Clinical examination The clinical examination of the patient at the ED revealed the following: The vital signs were normal, except for elevated body temperature (101.1°F) Presence of a mildly positive jolt sign The complete blood count and chemistry panel of the patient were unremarkable The test for influenza was negative Radiograph analysis A brain CT scan was conducted on the patient ( Figure 1 ).…
