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Published on: February 29, 2020
Recurrent bacterial meningitis in a child with hearing impairment, mondini dysplasia: a case report
Behdad Gharib1, Sara Esmaeili, Golnaz Shariati
1Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
Recurrent bacterial meningitis is not a common disease and makes physicians seek underlying predisposing factors which can result from anatomic anomalies or immunodeficiency. In this paper we present a boy with recurrent bacterial meningitis with the history of trauma and sensorineural hearing loss. Mondini dysplasia was demonstrated with computed homographic scans (CT-Scan) of temporal bones.
Insights
Recurrent bacterial meningitis in a boy was linked to inner ear malformation. Computed tomography scans revealed Mondini dysplasia, a potential predisposing factor for recurrent infections.
Area of Science:
- Neuroscience
- Otolaryngology
- Infectious Diseases
Background:
- Recurrent bacterial meningitis is uncommon, prompting investigation into predisposing factors.
- Potential causes include anatomical abnormalities and immunodeficiency.
- Identifying underlying conditions is crucial for managing recurrent meningitis.
Observation:
- A case study of a young male patient with recurrent bacterial meningitis.
- The patient had a history of head trauma and sensorineural hearing loss.
- Clinical presentation suggested an underlying anatomical issue.
Findings:
- Computed tomography (CT) scans of the temporal bones were performed.
- The scans revealed Mondini dysplasia, an inner ear malformation.
- This anatomical anomaly is a potential predisposing factor for recurrent meningitis.
Implications:
- Mondini dysplasia should be considered in patients with recurrent meningitis, especially with hearing loss.
- Early diagnosis of inner ear malformations can guide management strategies.
- Further research may elucidate the link between specific anatomical defects and meningitis risk.
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