Volume 5, Issue 3, September 2019, Page: 98-103
Recurrent Bacterial Meningitis in Paediatrics
Gihad Alsaeed, Department of Pediatrics, Altakhassussi Hospital, Riyadh, Saudi Arabia
Ibrahim Alsaeed, Faculty of Medicine, University of Milan, Milan, Italy
Mohamed Alsaeed, Faculty of Medicine, University of Pavia, Pavia, Italy
Received: May 23, 2019;       Accepted: Jun. 26, 2019;       Published: Jul. 4, 2019
DOI: 10.11648/j.ajp.20190503.14      View  24      Downloads  10
Abstract
The number of studies about recurrent bacterial meningitis (RBM) diagnostic challenge in children is limited. Structural approach and early diagnosis of an underlying pathology are crucial to prevent further episodes and improve the overall outcome [1]. 1.3% of children with bacterial meningitis had experienced at least one previous episode. Anatomic abnormalities are the most common predisposing factor for RBM, and congenital inner ear malformation is the leading cause [2]. Acquired immune deficiency (HIV) forms an important cause of RBM in some areas [22]. Terminal Complement defect is the leading congenital immunodeficiency that may cause RBM [1]. History of head trauma is an important factor but should not lead to exclude other important factors. Isolation of a specific bacterial organism can guide the diagnostic approach. We want to report a case of recurrent bacterial meningitis in a 12 year old boy with a small nasal ethmoidal CSF- leak fistula activation after 6 years of a head trauma. A diagnostic approach has been suggested depending on review of many trusted studies and clinical experiences.
Keywords
Recurrent Bacterial Meningitis, Children, Microbiologic, Radiologic Diagnosis, Immunodeficiency, Mortality, Prognosis
To cite this article
Gihad Alsaeed, Ibrahim Alsaeed, Mohamed Alsaeed, Recurrent Bacterial Meningitis in Paediatrics, American Journal of Pediatrics. Vol. 5, No. 3, 2019, pp. 98-103. doi: 10.11648/j.ajp.20190503.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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