Recurrent meningitis secondary to perilymph fistula in young children.
All young children treated for meningitis should have post-treatment evoked potential audiometry. If neurosensory hearing loss is identified, the clinician should be alerted to the possibility of a perilymph fistula as the cause of the meningitis. Radiology of the inner ear and possibly exploratory tympanotomy may be necessary to rule out a perilymph fistula. Two young children with meningitis secondary to perilymph fistula are presented to illustrate the problems of diagnosis and management.
MacRae
D L
DL
Department of Otolaryngology, University of Western Ontario, London, Canada.
Ruby
R R
RR
D001300:Audiometry, Evoked Response; D002675:Child, Preschool; D003051:Cochlea; D003052:Cochlear Aqueduct; D005260:Female; D005402:Fistula / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D008297:Male; D008581:Meningitis / Q000209:etiology* / Q000382:microbiology / Q000503:physiopathology; D012008:Recurrence; D014057:Tomography, X-Ray Computed