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[Pediatric Patient with anaerobic Bacterial Meningitis Who was Infected through a Spinal Congenital Dermal Sinus Route].
Kansenshogaku Zasshi. 2016 May; 90(3):321-4.KZ

Abstract

We report the case of a pediatric patient in whom a spinal congenital dermal sinus was detected after the onset of anaerobic bacterial meningitis. The patient was a 4-month-old boy. He had a recurrent fever for 2 weeks before admission. On admission, he presented with a convulsive status and a bulging anterior fontanel. The previously consulted physician had made a diagnosis of bacterial meningitis. Spinal fluid cultures tested positive for Peptoniphilus asaccharolyticus. Magnetic resonance imaging (MRI) showed a spinal subdural abscess and cranial subdural hydrops; therefore, the patient was transported to our hospital for surgical treatment. A sacral dimple was noted on his lower back, and an MRI showed a spinal congenital dermal sinus. Antimicrobial therapy, cranial subdural aspiration, dermal sinus excision, and drainage were performed. He was discharged on the 60th hospital day. When pathogens such as Staphylococcus aureus or Escherichia coli, Proteus sp. or anaerobic bacteria invade through a dermal sinus, it can result in meningitis. Involvement of a dermal sinus should be suspected when meningitis is caused by these pathogens or when recurrent meningitis occurs.

Authors

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Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

27529968

Citation

Okui, Hideyuki, et al. "[Pediatric Patient With Anaerobic Bacterial Meningitis Who Was Infected Through a Spinal Congenital Dermal Sinus Route]." Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases, vol. 90, no. 3, 2016, pp. 321-4.
Okui H, Fukasawa C, Tokutake S, et al. [Pediatric Patient with anaerobic Bacterial Meningitis Who was Infected through a Spinal Congenital Dermal Sinus Route]. Kansenshogaku Zasshi. 2016;90(3):321-4.
Okui, H., Fukasawa, C., Tokutake, S., Takei, H., Sato, J., & Hoshino, T. (2016). [Pediatric Patient with anaerobic Bacterial Meningitis Who was Infected through a Spinal Congenital Dermal Sinus Route]. Kansenshogaku Zasshi. the Journal of the Japanese Association for Infectious Diseases, 90(3), 321-4.
Okui H, et al. [Pediatric Patient With Anaerobic Bacterial Meningitis Who Was Infected Through a Spinal Congenital Dermal Sinus Route]. Kansenshogaku Zasshi. 2016;90(3):321-4. PubMed PMID: 27529968.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Pediatric Patient with anaerobic Bacterial Meningitis Who was Infected through a Spinal Congenital Dermal Sinus Route]. AU - Okui,Hideyuki, AU - Fukasawa,Chie, AU - Tokutake,Shoko, AU - Takei,Haruka, AU - Sato,Junichi, AU - Hoshino,Tadashi, PY - 2016/8/18/entrez PY - 2016/8/17/pubmed PY - 2016/9/13/medline SP - 321 EP - 4 JF - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases JO - Kansenshogaku Zasshi VL - 90 IS - 3 N2 - We report the case of a pediatric patient in whom a spinal congenital dermal sinus was detected after the onset of anaerobic bacterial meningitis. The patient was a 4-month-old boy. He had a recurrent fever for 2 weeks before admission. On admission, he presented with a convulsive status and a bulging anterior fontanel. The previously consulted physician had made a diagnosis of bacterial meningitis. Spinal fluid cultures tested positive for Peptoniphilus asaccharolyticus. Magnetic resonance imaging (MRI) showed a spinal subdural abscess and cranial subdural hydrops; therefore, the patient was transported to our hospital for surgical treatment. A sacral dimple was noted on his lower back, and an MRI showed a spinal congenital dermal sinus. Antimicrobial therapy, cranial subdural aspiration, dermal sinus excision, and drainage were performed. He was discharged on the 60th hospital day. When pathogens such as Staphylococcus aureus or Escherichia coli, Proteus sp. or anaerobic bacteria invade through a dermal sinus, it can result in meningitis. Involvement of a dermal sinus should be suspected when meningitis is caused by these pathogens or when recurrent meningitis occurs. SN - 0387-5911 UR - https://www.unboundmedicine.com/medline/citation/27529968/[Pediatric_Patient_with_anaerobic_Bacterial_Meningitis_Who_was_Infected_through_a_Spinal_Congenital_Dermal_Sinus_Route]_ L2 - http://www.diseaseinfosearch.org/result/706 DB - PRIME DP - Unbound Medicine ER -