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首页> 外文期刊>BMC Pediatrics >Recurrent Streptococcus Pneumoniae 23?F m eningitis due to cerebrospinal fluid leakage from the ear cannel: a case report
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Recurrent Streptococcus Pneumoniae 23?F m eningitis due to cerebrospinal fluid leakage from the ear cannel: a case report

机译：脑脊液从耳道漏出导致肺炎链球菌复发23？F炎

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Bacterial meningitis is a medical emergency, and immediate diagnostic steps must be taken to establish the specific cause. Recurrence of bacterial meningitis in children is not only potentially life-threatening, but also involves or induces psychological trauma to the patients through repeated hospitalization with many invasive investigations. A 6-year-old boy was diagnosed with recurrent bacterial meningitis caused by Streptococcus Pneumonia 23?F. He had received serial imaging studies for identifying the cause. The initial sinus computed tomography (CT) also showed sinusitis without bony defect of sinus. However, after performing nuclear scan, the results showed cerebrospinal fluid (CSF) leaked originating from the right petrooccpital region into the middle ear. Subsequent high resolution CT (HRCT) reports showed focal enlargement of the right facial nerve canal, erosion of the bony canal at geniculate ganglion and tympanic segment with tiny high-density spots. The reconstruction HRCT showed multiple bony defects at temporal bone. The magnetic resonance imaging revealed multifocal bony destruction with CSF collection in the right petrous ridge, carotid canal and jugular foramen. Eventually, CSF leakage to the right middle ear was confirmed and this could be the cause of the recurrent bacteria meningitis in this patient. Although recurrent bacterial meningitis in childhood is not common, this case report illustrates that recurrence of meningitis within a short period should be considered as cause of underline immunologic or anatomic defect.
机译：细菌性脑膜炎是一种医疗急症，必须立即采取诊断步骤以确定具体原因。儿童细菌性脑膜炎的复发不仅潜在威胁生命，而且通过许多侵入性研究的反复住院，对患者造成了心理伤害或诱发了心理创伤。一个6岁男孩被诊断​​出患有由23？F链球菌引起的反复细菌性脑膜炎。他已经接受了连续影像学研究以查明原因。最初的鼻窦计算机断层扫描（CT）也显示出鼻窦炎，没有窦性骨缺损。但是，进行核扫描后，结果显示脑脊液（CSF）从右枕骨区泄漏到中耳。随后的高分辨率CT（HRCT）报告显示右面部神经管局灶性扩大，膝状神经节的骨管糜烂和鼓膜节，并伴有微小的高密度斑点。重建的HRCT显示颞骨有多个骨缺损。磁共振成像显示多发性骨破坏，右侧岩，颈总管和颈椎孔内有脑脊液。最终，证实了CSF泄漏到右中耳，这可能是该患者反复细菌性脑膜炎的原因。尽管在儿童期复发性细菌性脑膜炎并不常见，但该病例报告表明，应将短期内脑膜炎的复发视为下划线免疫学或解剖学缺陷的原因。

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