Tympanic membrane penetrating trauma with CSF leak leading to pneumococcal meningitis in an infant

• Autorzy: Yonatan Yeshayahu , Menachem Gross , Dan Engelhard
• Języki publikacji: EN

Abstrakty

EN

We report the case of an eighteen-month-old child who suffered a tympanic membrane perforation caused by a digital thermometer. This injury led to a CSF leak. The patient was followed conservatively with no surgical intervention or prophylactic antibiotic therapy and developed pneumococcal meningitis 7 days later. He was then treated with Ceftriaxone for 12 days with full recovery, from a short and long term perspective. Issues concerning the management of CSF leak will be discussed along with review of the literature. This is the first report of post-traumatic meningitis as a result of mild trauma not involving maxillofacial or basilar fractures. The aim of our report is to raise awareness to this cause of meningitis and to stress the importance of immunizing against Streptococcal pneumoniae, a measure which may have prevented the sequelae in our case.

Słowa kluczowe

EN

CSF leak; Tympanic membrane; Meningitis; Streptococcus pneumonia

• Czasopismo: Open Medicine
• Rocznik: 2013
• Tom: 8
• Numer: 2
• Strony: 217-219

Daty

wydano

2013-04-01

online

2013-01-23

Twórcy

autor

Yonatan Yeshayahu

• Department of Pediatrics B North, Edmond & Lily Safra Children’s Hospital, Sheba Medical Center, Tel-Hashomer, 52621, Israel,

autor

Menachem Gross

• Otolaryngology/Head & Neck Surgery, Hadassah Hebrew-University Medical Center, P.O.B 12000, 91120, Jerusalem, Israel

autor

Dan Engelhard

• Department of Pediatrics, Hadassah Hebrew-University Medical Center, P.O.B 12000, 91120, Jerusalem, Israel

Bibliografia

• [1] Bernal-Sprekelsen M, Bleda-Vazquez C, Carrau RL. Ascending meningitis secondary to traumatic cerebrospinal fluid leaks. Am J Rhinol. 2000;14(4):257–259 http://dx.doi.org/10.2500/105065800779954473[Crossref]
• [2] Friedman JA, Ebersold MJ, Quast LM. Posttraumatic cerebrospinal fluid leakage. World J Surg. 2001;25(8):1062–1066 http://dx.doi.org/10.1007/s00268-001-0059-7[Crossref]
• [3] Bell RB, Dierks EJ, Homer L, Potter BE. Management of cerebrospinal fluid leak associated with craniomaxillofacial trauma. J Oral Maxillofac Surg. 2004; 62(6):676–684 http://dx.doi.org/10.1016/j.joms.2003.08.032[Crossref]
• [4] Eljamel MS, Foy PM. Acute traumatic CSF fistulae: the risk of intracranial infection. Br J Neurosurg. 1990;4(5):381–385 http://dx.doi.org/10.3109/02688699008992759[Crossref]
• [5] Pavlovichev SA. Immunologic study of cerebrospinal fluid in the diagnosis of posttraumatic meningitis. Zh Vopr Neirokhir Im N N Burdenko. 1983;(3):18–21 [PubMed]

Identyfikatory

DOI

10.2478/s11536-012-0112-y