Severe Bacterial Meningitis Due to an Enterothecal Fistula in a 6-year-old Child with Currarino Syndrome: Evaluation of Surgical Strategy with Review of the Literature

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2019 Apr 11

PMID 30968178

Citations 2

Authors

Hanne-Rinck Jeltema

Paul M A Broens

Oebele F Brouwer

Rob J M Groen

Affiliations

Soon will be listed here.

Abstract

Meningitis is a rare but serious complication in patients with Currarino syndrome. We present a 6-year-old girl with a fulminant meningitis due to an enterothecal fistula involving the anterior sacral meningocele. Initial treatment consisted of broad-spectrum intravenous antibiotic therapy and laparoscopic construction of a deviating double-loop ileostomy. This was followed by an elective posterior neurosurgical approach with a sacral laminectomy, evacuation of the empyema, and securing the disconnection of the anterior meningocele from the thecal sac, 10 days after initial hospital admission. The girl made a good postoperative recovery. The treatment strategy in the setting of meningitis due to an inflamed anterior meningocele is discussed and the available literature on the topic is reviewed.

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Polymicrobial Bacterial Meningitis in a Patient with Chronic Suppurative Otitis Media: Case Report and Literature Review.

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Enterothecal fistula as a rare cause of adult pneumocephalus and meningitis: a case report.

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