A Case of Pneumococcal Meningitis Associated with Posttraumatic Cerebrospinal Fluid Rhinorrhea.
- Author:
Eun Joo KIM
1
;
Myoung Hoon SONG
;
Tae Jung SUNG
;
Seon Hee SHIN
;
Sung Koo KIM
;
Hong Dae KIM
;
Kon Hee LEE
;
Hae Sun YOON
Author Information
1. Department of Pediatrics, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. pedkimsk@teramail.com
- Publication Type:Case Report
- Keywords:
Posttraumatic meningitis;
CSF rhinorrhea
- MeSH:
Adolescent;
Cerebrospinal Fluid Rhinorrhea*;
Cerebrospinal Fluid*;
Craniocerebral Trauma;
Female;
Fistula;
Humans;
Magnetic Resonance Imaging;
Meningitis, Bacterial;
Meningitis, Pneumococcal*;
Skull Base;
Skull Fractures;
Streptococcus pneumoniae;
Tomography, X-Ray Computed
- From:
Journal of the Korean Child Neurology Society
2006;14(2):348-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bacterial meningitis after head trauma is a rare complication, but the cerebrospinal fluid(CSF) leakage after head trauma greatly increases the risk of bacterial meningitis. Most of the infections passes through the defects in the basal skull fracture, and Streptococcus pneumoniae is the most common organism. MRI, coronal thin sections of cranial CT and radioiosotope cisternography are considered to diagnose the CSF fistulae. We report a case of a 14-year-old girl with pneumococcal meningitis complicated by CSF rhinorrhea following an asymptomatic period of 3 years after head trauma. We found a bone defect of the cribrium of the skull base by means of paranasal sinus CT scanning and MRI.
