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Anterior sacral pyocele with meningitis: a rare presentation of occult spinal dysraphism with congenital dermal sinus.
J Child Neurol. 2010 Nov; 25(11):1393-7.JC

Abstract

The authors describe an interesting case of a hitherto asymptomatic occult spinal defect with a congenital sacral dermal sinus which proved to be the entry point for bacterial meningitis in an otherwise healthy 9-year-old female child. The patient presented with fever and neck stiffness, and a dermal sinus in the lumbosacral region was identified on examination. Cerebrospinal fluid analysis confirmed bacterial meningitis and a spinal magnetic resonance imaging scan revealed a dermal sinus tract with an anterior spinal meningocele, caudal regression syndrome, and a tethered spinal cord. In addition to administration of intravenous antimicrobial agents, surgical exploration of the sacral dermal sinus tract was performed and an anterior sacral pyocele was drained. The pyocele cavity was disconnected from the thecal sac, and the thickened and fatty filum terminale was sectioned. Although congenital sacral dermal sinus manifesting as bacterial meningitis is known, the occurrence of an anterior sacral pyocele has not yet been described in children.

Authors+Show Affiliations

Department of Pediatrics, Seth G.S. Medical College, and K.E.M. Hospital, Parel, Mumbai, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20363962

Citation

Bhatia, Sonal, et al. "Anterior Sacral Pyocele With Meningitis: a Rare Presentation of Occult Spinal Dysraphism With Congenital Dermal Sinus." Journal of Child Neurology, vol. 25, no. 11, 2010, pp. 1393-7.
Bhatia S, Tullu MS, Date NB, et al. Anterior sacral pyocele with meningitis: a rare presentation of occult spinal dysraphism with congenital dermal sinus. J Child Neurol. 2010;25(11):1393-7.
Bhatia, S., Tullu, M. S., Date, N. B., Muzumdar, D., Muranjan, M. N., & Lahiri, K. R. (2010). Anterior sacral pyocele with meningitis: a rare presentation of occult spinal dysraphism with congenital dermal sinus. Journal of Child Neurology, 25(11), 1393-7. https://doi.org/10.1177/0883073810365010
Bhatia S, et al. Anterior Sacral Pyocele With Meningitis: a Rare Presentation of Occult Spinal Dysraphism With Congenital Dermal Sinus. J Child Neurol. 2010;25(11):1393-7. PubMed PMID: 20363962.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anterior sacral pyocele with meningitis: a rare presentation of occult spinal dysraphism with congenital dermal sinus. AU - Bhatia,Sonal, AU - Tullu,Milind S, AU - Date,Nitin B, AU - Muzumdar,Dattatraya, AU - Muranjan,Mamta N, AU - Lahiri,Keya R, Y1 - 2010/04/02/ PY - 2010/4/6/entrez PY - 2010/4/7/pubmed PY - 2011/2/26/medline SP - 1393 EP - 7 JF - Journal of child neurology JO - J. Child Neurol. VL - 25 IS - 11 N2 - The authors describe an interesting case of a hitherto asymptomatic occult spinal defect with a congenital sacral dermal sinus which proved to be the entry point for bacterial meningitis in an otherwise healthy 9-year-old female child. The patient presented with fever and neck stiffness, and a dermal sinus in the lumbosacral region was identified on examination. Cerebrospinal fluid analysis confirmed bacterial meningitis and a spinal magnetic resonance imaging scan revealed a dermal sinus tract with an anterior spinal meningocele, caudal regression syndrome, and a tethered spinal cord. In addition to administration of intravenous antimicrobial agents, surgical exploration of the sacral dermal sinus tract was performed and an anterior sacral pyocele was drained. The pyocele cavity was disconnected from the thecal sac, and the thickened and fatty filum terminale was sectioned. Although congenital sacral dermal sinus manifesting as bacterial meningitis is known, the occurrence of an anterior sacral pyocele has not yet been described in children. SN - 1708-8283 UR - https://www.unboundmedicine.com/medline/citation/20363962/Anterior_sacral_pyocele_with_meningitis:_a_rare_presentation_of_occult_spinal_dysraphism_with_congenital_dermal_sinus_ L2 - http://journals.sagepub.com/doi/full/10.1177/0883073810365010?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -