Recurrent meningitis due to a persistent nasal discharge

Presentation We report a case of recurrent meningitis in an adult female who had a delayed cerebrospinal fluid leak (CSF), years after a road traffic accident (RTA). Diagnosis Taking a thorough history and correlating with test results confirmed the cerebrospinal fluid leak (CSFL). Magnetic resonance imaging (MRI) imaging identified the location of a CSF communication to the ethmoid sinus. Treatment Antibiotic treatment for meningitis lead to full recovery on every admission. The site of the CSFL was later treated successfully by endonasal repair. Discussion Recurrent meningitis is rare. This case highlights the importance of taking a thorough history, reflecting on signs and symptoms before ordering the right tests to achieve the appropriate treatment.