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Published on: February 29, 2020
[Three children with recurrent meningitis as the result of an anatomical defect]
G F J P M Adriaensen1, T F W Wolfs, A G M Schilder
1Afd. Keel-, Neus- en Oorheelkunde, Universitair Medisch Centrum Utrecht, locatie Wilhelmina Kinderziekenhuis, Postbus 85.090, 3508 AB Utrecht.
Insights
Recurrent meningitis in children is rare and often caused by anatomical defects. Prompt surgical intervention for these defects can effectively prevent further meningitis episodes.
Area of Science:
- Pediatrics
- Neurology
- Otorhinolaryngology
Background:
- Recurrent meningitis in pediatric patients is an uncommon condition.
- Immunological defects were initially considered but ruled out in these cases.
Observation:
- Three children presented with recurrent meningitis.
- The underlying cause was identified as an anatomical defect.
Findings:
- Surgical correction of the anatomical defect successfully resolved the recurrent meningitis.
- Otorhinolaryngological (ear, nose, and throat) anatomical defects are a primary cause of recurrent meningitis in children.
Implications:
- Early consultation with an otorhinolaryngologist is crucial for diagnosis and treatment.
- High-definition cranial computed tomography aids in identifying anatomical causes.
- Timely and complete diagnosis and treatment minimize the risk of recurrent meningitis.
Abstract:
Three children, a 12-year-old girl, a 5-year-old boy and a 5-year-old girl, were referred with recurrent episodes of meningitis. After an immunological defect had been ruled out early in the diagnostic work-up, the cause appeared to be an anatomical defect. After surgical treatment, no further meningitis occurred. Recurrent meningitis in children is rare. Anatomical defects, congenital or acquired, in the otorhinolaryngological area are the main cause. Conscientious history taking, careful physical examination and imaging using high-definition cranial computed tomography are important in establishing the diagnosis. In order to minimise the risk of another episode of meningitis, the otorhinolaryngologist should be consulted immediately in the diagnostic and therapeutic process and this process should be completed as soon as possible.
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