A 30 year old female has been
suffering from seasonal nasal obstruction for the last few years. A watery
nasal discharge and attacks of sneezing accompanied this nasal obstruction. 2
weeks ago she had an attack of common cold, she refused to have medical
treatment and 2 days later she began to develop pain over the forehead and a
mild fever. She did not receive any treatment and so recently developed severe
headache with a high fever (40 C) and became severely irritable and could not
withstand light. On examination there was marked neck and back stiffness.
What is your clinical diagnosis?
