An early diagnosis of Mondini-like dysplasia in the Emergency Department at the first episode of bacterial meningitis

Mondini-like dysplasia is a rare congenital inner ear malformation (IEM) and the most common anomaly associated with recurrent bacterial meningitis in children. Early diagnosis of Mondinilike dysplasia is crucial for preventing recurrent bacterial meningitis. We report a case of a 15-year-old girl with unrecognized Mondini-like dysplasia that was early diagnosed in the Emergency Department at the first episode of bacterial meningitis. Assessing hearing function in children who have their first episode of meningitis is crucial. Abnormal hearing test results are critical diagnostic findings that help to suspect an IEM. In addition, high-resolution computed tomography of the temporal bones is an excellent diagnostic tool for IEM.

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Predictors of meningitis in children presenting with first episode of febrile seizure

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20164593 ◽

2016 ◽

Vol 4 (1) ◽

pp. 136

Author(s):

Suresh Reddy D. ◽

Habib Khan S. ◽

Pavan Hegde

Keyword(s):

Bacterial Meningitis ◽

Lumbar Puncture ◽

Febrile Seizure ◽

Febrile Seizures ◽

Good Prognosis ◽

Acute Bacterial Meningitis ◽

First Episode ◽

Medical College ◽

Csf Analysis ◽

Meningitis In Children

Background: Febrile seizure is the most common cause of seizures in infants and toddlers presenting to the paediatric emergency department. Two to five percent of children experience at least one or more episodes of febrile seizures. Simple febrile seizures are benign and self-limiting. They have good prognosis and carry very low risk for epilepsy. Probability of acute bacterial meningitis presenting as fever with seizures varies from 0.6% to 6.7%. The American Academy of Paediatrics (AAP) strongly recommends lumbar puncture (for CSF analysis) in the work up of every child under 18 months of age with a first episode of febrile seizure to rule out acute bacterial meningitis. The objective of this study was to determine the occurrence of meningitis in children who presented with first episode of seizure and fever and also the predictors of meningitis among them.Methods: The records of children admitted to Father Muller Medical College and Hospital between 1st January 2014 to 31st December 2015 were reviewed. All children between 6 months to 6 years of age having first episode of convulsions, associated with fever were included in the study and subjected to retrospective analysis of data collected from the case sheets. Results: Our study included 105 children with febrile seizures, 49 children had simple febrile seizures (SFS) and 56 children presented as atypical febrile seizures (AFS). Lumbar puncture was performed in 43 children (15 with SFS and 28 with AFS). The CSF analysis was normal in all the children who presented as simple febrile seizures. There was 25.87% prevalence of meningitis in children with atypical febrile seizures who underwent lumbar puncture. The CSF yield suggestive of bacterial meningitis was as high as 50% in children below 1 year in whom lumbar puncture was done.Conclusions: Children presenting with Atypical/Complex febrile seizures who were treated with antibiotics have more likelihood of having meningitis rather than those presenting with simple febrile seizures.

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Evaluation of hearing loss with auditory brainstem responses in the early and late period of bacterial meningitis in children

The Journal of Laryngology & Otology ◽

10.1017/s0022215100136965 ◽

1997 ◽

Vol 111 (3) ◽

pp. 223-227 ◽

Cited By ~ 13

Author(s):

İsmail Külahli ◽

Mustafa Öztürk ◽

Çaǧatay Bilen ◽

Sebahattin Cüreoglu ◽

Atilla Merhametsiz ◽

...

Keyword(s):

Hearing Loss ◽

Bacterial Meningitis ◽

Auditory Brainstem ◽

Auditory Brainstem Responses ◽

Subdural Effusion ◽

Normal Body Temperature ◽

Mild Degree ◽

Hearing Function ◽

Mild Hearing Loss ◽

Meningitis In Children

AbstractThe hearing function of 50 children with bacterial meningitis was evaluated at the second and 10th days, and eight weeks after admission with auditory brain system responses (ABR) to investigate whether meningitis causes hearing loss. Normal values were obtained in all tests from both ears of 24 patients (48 per cent). Twelve patients (24 per cent) had temporary, and seven (14 per cent) patients had persistent mild degree hearing loss. Severe hearing loss was detected bilaterally in five (10 per cent) patients and unilaterally in two (four per cent) patients. Patients with other complications such as subdural effusion, convulsion, brain oedema and paralysis were found to have a higher incidence of hearing loss. We observed that patients treated with dexamethasone had 7.7 per cent persistent hearing loss, 11.6 per cent mild hearing loss, 34.6 per cent transient hearing loss, but in the group who did not receive dexamethasone there was 19.2 per cent persistent hearing loss, 15.3 per cent mild hearing loss and 11.6 per cent transient hearing loss. There were other signficant differences between the two groups in restoration of normal body temperature, the CSF/plasma glucose concentration ratio was elevated, CSF (cerebro-spinal fluid) protein concentration was decreased and the cell count in the CSF was decreased in the dexamethasone group, significantly more than the group who were not receiving dexamethasone. The hearing loss tended to be more frequent among younger children.

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Faculty Opinions recommendation of 5 versus 10 days of treatment with ceftriaxone for bacterial meningitis in children: a double-blind randomised equivalence study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.12048956.14702096 ◽

2011 ◽

Author(s):

Suzanne Dawid ◽

Claudia Espinosa

Keyword(s):

Bacterial Meningitis ◽

Double Blind ◽

Meningitis In Children

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Faculty Opinions recommendation of Low risk of bacterial meningitis in children with a positive enteroviral polymerase chain reaction test result.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.5835956.5822054 ◽

2010 ◽

Author(s):

Diederik van de Beek ◽

Matthijs Brouwer

Keyword(s):

Polymerase Chain Reaction ◽

Bacterial Meningitis ◽

Low Risk ◽

Polymerase Chain Reaction Test ◽

Chain Reaction ◽

Reaction Test ◽

Polymerase Chain ◽

Meningitis In Children ◽

Chain Reaction Test ◽

Test Result

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TREATMENT OF BACTERIAL MENINGITIS IN CHILDREN WITHOUT INTRAVENOUS FLUIDS

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1981.tb135838.x ◽

1981 ◽

Vol 1 (11) ◽

pp. 577-578 ◽

Cited By ~ 1

Author(s):

Frank Shann ◽

Stephanie Germer

Keyword(s):

Bacterial Meningitis ◽

Intravenous Fluids ◽

Meningitis In Children

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Bacterial meningitis in children in Iceland, 1975–2010: A nationwide epidemiological study

Scandinavian Journal of Infectious Diseases ◽

10.3109/00365548.2013.817680 ◽

2013 ◽

Vol 45 (11) ◽

pp. 819-824 ◽

Cited By ~ 12

Author(s):

Kolfinna Snaebjarnardóttir ◽

Helga Erlendsdóttir ◽

Ingi Karl Reynisson ◽

Karl Kristinsson ◽

Sandra Halldórsdóttir ◽

...

Keyword(s):

Bacterial Meningitis ◽

Epidemiological Study ◽

Meningitis In Children

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Supratubal recess and sinus tympani: CT analysis of middle ear hidden areas

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-019-0056-1 ◽

2019 ◽

Vol 50 (1) ◽

Cited By ~ 1

Author(s):

Mohammad Waheed El-Anwar ◽

Diaa Bakry Eldib ◽

Ashraf Elmalt ◽

Alaa Omar Khazbak

Keyword(s):

Middle Ear ◽

Preoperative Imaging ◽

High Resolution Computed Tomography ◽

Sinus Tympani ◽

Ct Analysis ◽

Length Width ◽

Middle Ear Anatomy ◽

Grade 3 ◽

Temporal Bones ◽

Ct Classification

Abstract Background High-resolution computed tomography (HRCT) magnifies the role of preoperative imaging for detailed middle ear anatomy particularly its hidden area. The purpose of the current study was to assess the sinus tympani (ST) and supratubal recess (STR) by HRCT, to create CT classification of the STR depth, and to study the relationship between ST types and the new STR grades. Results In HRCT of non-pathological temporal bones of 100 subjects (200 ears), measurements of the STR and ST were calculated, registered, and analyzed. The depth of the STR was classified into grade 1 with depth less than 3 mm, grade 2 with depth ranged between 3 and 5 mm, and grade 3 with depth more than 5 mm. The mean STR length, width, and height were 4.17 ± 0.86, 3.55 ± 0.65, and 3.64 ± 0.7 mm, respectively, while the ST mean length and width of were 2.52 ± 0.5 and 1.82 ± 0.78 mm, respectively, without significant differences between either sexes or sided. The ST types were found to be type A in 56 ears (28%), type B in 142 ears (71%), and type C in 2 ears (1%). The STR grading was grade 1 in 12 ears (6%), grade 2 in 160 ears (80%), and grade 3 in 28 ears (14%) without significant relationship between ST types and STR grading (P = 0.3). Conclusion The current study provided reliable and applicable methods of CT assessment of STR and ST that can help to predict the degree of surgical visibility of the ST and STR during ear surgery.

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