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

• Authors: Yonatan Yeshayahu , Menachem Gross , Dan Engelhard
• Languages of publication: EN

Abstracts

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.

Keywords

EN

CSF leak; Tympanic membrane; Meningitis; Streptococcus pneumonia

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 2
• Pages: 217-219

Dates

published

1 - 4 - 2013

online

23 - 1 - 2013

Contributors

author

Yonatan Yeshayahu

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

author

Menachem Gross

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

author

Dan Engelhard

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

References

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• [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]
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• [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]

Identifiers

DOI

10.2478/s11536-012-0112-y