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[Subdural effusion during bacterial meningitis]
G Calabri1, F Mannelli, G Salvi
1Divisione Clinica di Malattie Infettive, Università degli Studi di Firenze, Italia.
Abstract:
Twelve children of age ranged from 4 to 34 months with Haemophilus influenzae type b meningitis treated at Meyer Hospital of Florence, were retrospectively reviewed. Eight patients had subdural effusion demonstrated with TC, RM and transfontanellar ultrasonography. All patients are cured without sequelae.
Insights
Haemophilus influenzae type b meningitis in young children can lead to subdural effusion. Prompt treatment resulted in complete recovery without any long-term complications for all patients studied.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Haemophilus influenzae type b (Hib) meningitis is a serious infection in infants and young children.
- Subdural effusion is a potential complication of bacterial meningitis.
Purpose of the Study:
- To review outcomes of children with Hib meningitis treated at Meyer Hospital.
- To assess the incidence and impact of subdural effusion in these patients.
Main Methods:
- Retrospective review of 12 pediatric patients diagnosed with Hib meningitis.
- Diagnostic imaging including CT scans, MRI, and transfontanellar ultrasonography to identify subdural effusions.
Main Results:
- Eight out of twelve patients (67%) developed subdural effusion.
- All twelve patients achieved a complete cure.
- No neurological sequelae were observed in any of the patients post-treatment.
Conclusions:
- Hib meningitis, even with subdural effusion, can be effectively treated in children.
- Early diagnosis and management lead to favorable outcomes, preventing long-term complications.